Individual
SAMANTHA KORNHAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
2150 PFINGSTEN RD STE 3000, GLENVIEW, IL 60026-1314
(847) 657-1700
(847) 657-1715
Mailing address
2150 PFINGSTEN RD STE 3000, GLENVIEW, IL 60026-1314
(847) 657-1700
(847) 657-1715
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209019888
IL
363LP2300X
Primary Care Nurse Practitioner
209.019888
IL
Other
Enumeration date
08/06/2020
Last updated
12/22/2020
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