Individual
SAMANTHA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1276 N CLYBOURN AVE, CHICAGO, IL 60610-2089
(312) 337-1073
(312) 337-7460
Mailing address
5140 S HYDE PARK BLVD APT 20F, CHICAGO, IL 60615-4267
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.372117
IL
364SG0600X
Gerontology Clinical Nurse Specialist
209017043
IL
Other
Enumeration date
11/03/2008
Last updated
03/08/2019
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