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Individual

SAMANTHA JO HERBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-5634
Mailing address
4525 N KEYSTONE AVE, CHICAGO, IL 60630-4411
(517) 455-6449

Taxonomy

Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
209.027256
IL

Other

Enumeration date
02/23/2023
Last updated
09/11/2023
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