Individual
SAMANTHA BUGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP-PC
Contact information
Practice address
211 E GRAND AVE, CHICAGO, IL 60611-3311
(312) 229-0170
Mailing address
211 E GRAND AVE, CHICAGO, IL 60611-3311
(312) 229-0170
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209.031024
IL
Other
Enumeration date
03/25/2025
Last updated
03/18/2026
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