Samuel, Charles

Samuel, Charles is an individual health care provider with primary practice located at 280 N Westgate Rd Apt 222 , Mount Prospect IL 60056-2661. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Samuel, Charles can be contacted via phone (224) 659-6159.

Contact Information

Primary practice address

280 N Westgate Rd Apt 222 Mount Prospect IL 60056-2661

Phone: (224) 659-6159

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner	363L00000X	209.021993	Illinois

Profile Details

NPI number	1376158444
LBN Legal business name	Samuel, Charles
Credentials	Nurse Practitioner (NP)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Sep 15th, 2020
Last updated	Sep 15th, 2020 - about 4 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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