Organization
HOME HEALTH MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD ERIC SAM D.O. (SOLE MANAGER/PHYSICIAN)
(708) 422-7758
Entity
Organization
Contact information
Practice address
9900 SOUTHWEST HWY, OAK LAWN, IL 60453-3724
(708) 422-7758
(708) 422-8154
Mailing address
9900 SOUTHWEST HWY, OAK LAWN, IL 60453-3724
(708) 422-7758
(708) 422-8154
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036094623
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094623
—
IL
01
—
208184
PTAN
IL
Enumeration date
09/05/2006
Last updated
12/12/2025
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