Samantha Berkson
Individual provider Active NPI Primary Care Nurse Practitioner · Lake Forest, IL
NPI 1093640922 · NPPES record last updated Jun 13, 2026
Key facts
- NPI
- 1093640922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 209.033998 (IL)
- Practice address
- 1000 N Westmoreland Rd
Lake Forest, IL 60045-1658 - Phone
- (847) 234-5600
- NPI assigned
- Jun 13, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 209.033998 | IL | Yes |
Addresses
Primary practice location
1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Mailing address
1738 N Mohawk St Apt 2
Chicago, IL 60614-6611
Phone (847) 347-6787
Other providers in Lake Forest, IL
- Ann Benny Stephen
- Deborah L Berg
- Joyce Ellen Berger
- Mimi Claire Bergman
- Mark Allan Berk
- Harold G. Berner
- Stephanie Berry
- Andrea Erickson Best
- Kunjan Satishkumar Bhakta
- Aneri Dalia Bhansali
All providers in Lake Forest, IL · Primary Care Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.