Gatewood, Samantha Jaye

Gatewood, Samantha Jaye is an individual health care provider with primary practice located at 600 W Chicago Ave Ste 1 , Chicago IL 60654-2802. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Gatewood, Samantha Jaye can be contacted via phone (312) 625-0845.

Contact Information

Primary practice address
600 W Chicago Ave Ste 1 Chicago IL 60654-2802
Phone: (312) 625-0845
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 209022251 Illinois

Profile Details

NPI number 1992390397
LBN Legal business name Gatewood, Samantha Jaye
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2021
Last updated Apr 30th, 2024 - 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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