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Organization
BROADMED LLC
Active
Organization
BROADMED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SAM DO (PHYSICIAN)
(630) 414-9335
Entity
Organization
Contact information
Practice address
14268 LACEY DR, LEMONT, IL 60439-8549
(630) 414-9335
Mailing address
14268 LACEY DR, LEMONT, IL 60439-8549
(630) 414-9335
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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