Samantha Jean Alvarado

Individual provider Active NPI Licensed Practical Nurse · Ottawa, IL

NPI 1144188384 · NPPES record last updated Jan 15, 2026

Key facts

NPI
1144188384
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
043121670 (IL)
Practice address
711 E McKinley Rd
Ottawa, IL 61350-4811
Phone
(815) 433-3761
NPI assigned
Jan 15, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
043121670ILMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 043121670 IL Yes

Addresses

Primary practice location

711 E McKinley Rd
Ottawa, IL 61350-4811

Mailing address

315 Dixon St
Streator, IL 61364-3159
Phone (815) 510-8100

Other practice location 1

315 E McKinley Rd
Ottawa, IL 61350-4805
Phone (815) 434-0228

Other providers in Ottawa, IL

All providers in Ottawa, IL · Licensed Practical Nurse in Illinois

Sources for this page

Verify at the official NPI Registry.