Jane K Samuels, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

037518122 Issued in IL

Practice address

Walgreens 375 E Dundee Rd
Palatine, IL 60074

Phone

(847) 361-5650

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jane K. Wille Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Avanti Medical Group of Illinois LLC

  • Clinic/Center
  • Wheaton, IL
  • NPI 1609185875
  NPD (past)
• Neurobehavioral Health Connections, LTD

  • Clinical Psychologist
  • Mundelein, IL
  • NPI 1164545836
  NPD (past)
• Robert M Pasen PHD PC

  dba Neurobehavioral Health Connections, Ltd

  • Clinical Psychologist
  • Mundelein, IL
  • NPI 1821030024
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1558585646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALGREENS 375 E DUNDEE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "60074",
            "telephone_number": "847-361-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "JANE",
        "middle_name": "K",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "037518122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsamuels205496@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "Walgreens 375 E Dundee Rd",
            "city": "Palatine",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "Walgreens 375 E Dundee Rd",
            "city": "Palatine",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "WILLE",
            "middle_name": "K.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Purvi Saraiya, PHARM D
• Lauryn Anne Sardarbekians, PHARMD
• Maureen Sauve-Hansen, LCPC
• Maria Arlene J Saxsma, FNP-BC

• Family Nurse Practitioner in Palatine, IL
• Providers in Palatine, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.