DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMANTHA JERUSAL

Active

SAMANTHA JERUSAL is a Pediatric Nurse Practitioner healthcare provider located in CHICAGO, Illinois. NPI 1013610971 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · CHICAGO, IL

Registration Details

NPI Number
1013610971
Provider Type
Individual
Gender
Female
NPI Issued
Mar 22, 2023 (3.4217872058815 yrs)
Last Updated
Sep 5, 2023
Licenses
501051 (OH)
209.028195 (IL)

Practice Information

Address
2418 W DIVISION ST
CHICAGO, IL, 606222940
Browse IL providers · Browse ZIP 60622
Phone
3126663494
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in CHICAGO, IL

Name Credential NPI
MRS. JEANNE S FINDLAY DNP, CPNP 1760485379
MARIAELENA J. FAGADORE CNP 1861490138
CYNTHIA ANN BUDEK RN, MS, APN/NP 1972599546
MS. STACY LYNNE BICHL APN-CPNP 1134115611
ROBIN T CELANO DNP 1467449777
MR. JOHN CHARLES RUCKAUF APN/NP 1760469738
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.