Moore, Samantha

Moore, Samantha is an individual health care provider with primary practice located at 101 Madison St , Oak Park IL 60302-4278. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Moore, Samantha can be contacted via phone (708) 486-2700.

Contact Information

Primary practice address
101 Madison St Oak Park IL 60302-4278
Phone: (708) 486-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209-032478 Illinois

Profile Details

NPI number 1295626406
LBN Legal business name Moore, Samantha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2025
Last updated Jul 14th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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