Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Samantha Nichole Laystrom, PA-C

Individual provider Physician Assistant · NPI 1386228799

Mrs. Samantha Nichole Laystrom, PA-C is a Physician Assistant in Skokie, Illinois. Qualified in 2021, 5 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9600 Gross Point Rd
Skokie, IL 60076-1214
Phone: (847) 677-9600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2650 Ridge Ave, Evanston, IL 60201-1700 — (847) 570-2000
  • 777 Park Ave W, Highland Park, IL 60035-2433 — (847) 675-3900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085008351 (IL)

Record details

NPI number1386228799
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 11, 2021
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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