Individual
SAMANTHA EMILY MAGRUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5741 W CERMAK RD, CICERO, IL 60804-2129
(708) 222-0100
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041470079
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
209-029764
IL
363LF0000X
Family Nurse Practitioner
209.029764
IL
Other
Enumeration date
03/04/2024
Last updated
09/15/2025
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