Greenwald, Samantha Larue

Greenwald, Samantha Larue is an individual health care provider with primary practice located at 126 Delaware Dr , Bolingbrook IL 60440-2368. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Greenwald, Samantha Larue can be contacted via phone (630) 991-8556.

Contact Information

Primary practice address
126 Delaware Dr Bolingbrook IL 60440-2368
Phone: (630) 991-8556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041430338 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 144316 Illinois

Profile Details

NPI number 1497425326
LBN Legal business name Greenwald, Samantha Larue
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2021
Last updated Nov 7th, 2023 - about 2 years ago

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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