Individual
SAMANTHA FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1611 W HARRISON ST STE 400, CHICAGO, IL 60612-4861
(312) 432-2300
Mailing address
728 N MORGAN ST UNIT 411, CHICAGO, IL 60642-6536
(224) 595-1134
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.420305
IL
363L00000X
Nurse Practitioner
Primary
209.018002
IL
363LF0000X
Family Nurse Practitioner
209.018002
IL
Other
Enumeration date
09/11/2018
Last updated
01/23/2026
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