Individual
SAMANTHA M TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
808 RICKERT DR STE 103, NAPERVILLE, IL 60540-0908
(888) 963-6437
(630) 348-3098
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-9262
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.016922
IL
363LF0000X
Family Nurse Practitioner
209.016922
IL
Other
Enumeration date
01/26/2018
Last updated
11/25/2022
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