Individual
MAXWELL R BROADUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 E HAWTHORN PKWY STE 235, VERNON HILLS, IL 60061-1454
(877) 893-5544
(877) 428-7891
Mailing address
175 E HAWTHORN PKWY STE 235, VERNON HILLS, IL 60061-1454
(877) 893-5544
(877) 428-7891
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150113145
IL
Other
Enumeration date
08/04/2026
Last updated
08/14/2026
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