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

SpecialtyCodeLicense #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 5 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.

Request for update

Popular Providers