NPI 1720758972 · live from the CMS NPI Registry
Samantha Rae Boone
Marriage & Family Therapist in Oak Brook, IL. National Provider Identifier 1720758972, active.
NPI record
| NPI | 1720758972 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 1000 Jorie Blvd, Oak Brook, IL 60523 |
| Practice phone | 630-560-1100 |
| Mailing address | 738 Bluff St Apt 202, Carol Stream, IL 60188 |
| Enumerated | September 19, 2021 |
| Last updated | January 29, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 166.001796 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.