Individual
DR. SAM JOSEPH BRANCATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
455 W COURT ST STE 403, KANKAKEE, IL 60901-3695
(815) 939-3190
Mailing address
1270 EAGLE BLUFF DR, BOURBONNAIS, IL 60914-5520
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036130870
IL
208800000X
Urology Physician
284371
NY
208800000X
Urology Physician
C157659
CA
208800000X
Urology Physician
D75794
MD
208800000X
Urology Physician
Primary
MD-43528
IA
208800000X
Urology Physician
MD042437
DC
Other
Enumeration date
06/08/2008
Last updated
03/26/2021
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