Provider Demographics
NPI:1205001641
Name:SAMSON, LINDA F (PHD, RN, BC, NEA-BC)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:F
Last Name:SAMSON
Suffix:
Gender:F
Credentials:PHD, RN, BC, NEA-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20676 FRANCISCA WAY
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-3126
Mailing Address - Country:US
Mailing Address - Phone:708-534-4389
Mailing Address - Fax:
Practice Address - Street 1:20676 FRANCISCA WAY
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-3126
Practice Address - Country:US
Practice Address - Phone:708-534-4389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041-325067163WA2000X, 163WC1400X
IL041325067163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1400XNursing Service ProvidersRegistered NurseCollege Health
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn