Charles Samuel, NP
NPI #1376158444 in Mount Prospect, Illinois
Provider Information
- NPI Number
- 1376158444
- Entity Type
- Individual
- Name
- Charles Samuel, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Sep 15, 2020
- Last Updated
- Sep 15, 2020
Practice Location
- Address
- 280 N WESTGATE RD APT 222
- City
- Mount Prospect
- State
- Illinois
- ZIP Code
- 60056-2661
- Phone
- (224) 659-6159
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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