Individual
SAMANTHA KAYE O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1012 95TH ST STE 3, NAPERVILLE, IL 60564-5040
(630) 856-8670
Mailing address
15718 COVE CIR, PLAINFIELD, IL 60544-7858
(402) 517-1244
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209021538
IL
Other
Enumeration date
09/01/2020
Last updated
04/01/2021
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