Individual
SUNIL SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1400 US HIGHWAY 61, FESTUS, MO 63028-4100
(314) 251-6663
Mailing address
136 S WINDHAM LN, BLOOMINGDALE, IL 60108-2536
(630) 765-4073
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2017037640
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025009021
MO
Other
Enumeration date
06/06/2018
Last updated
04/25/2025
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