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Jessica Sampson

NPI Registration Record

Provider / OrganizationNPIDate Certified
JESSICA SAMPSON12559403422020-07-24
Entity TypeIndividual
Provider Name Jessica Sampson M.S.
Practice Office Address4252 CORAL BERRY PATH APT 302
GURNEE, IL US
Practice Office Telephone9145888658
Mailing Address4252 CORAL BERRY PATH APT 302
GURNEE, IL 600319318 US
Business Telephone9145888658
Contact Endpoints
encrypted email [][email protected]Direct Amita Health
HPT Codes
CodeLicense NoState
101Y00000X PRIMARY
OPI Codes

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