Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samantha Jerusal

Individual provider Pediatric Registered Nurse · NPI 1013610971

Samantha Jerusal is a Pediatric Registered Nurse in Chicago, Illinois. Licensed in Illinois and Ohio. Registered with an NPI since 2023.

Licensed in
IL, OH
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2418 W Division St
Chicago, IL 60622-2940
Phone: (312) 666-3494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 209.028195 (IL)
Pediatric Registered Nurse Taxonomy 163WP0200X · Licence 501051 (OH)

Record details

NPI number1013610971
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 22, 2023
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023
Mailing address2418 W Division St, Chicago, IL 60622-2940

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