Individual
SAMANTHA D SCANLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
41W400 SILVER GLEN RD, ST CHARLES, IL 60175-8453
(163) 094-0128
Mailing address
153 N HICKORY ST, CORTLAND, IL 60112-4125
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041463768
IL
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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