Individual
DR. JEFFREY SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
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
207R00000X
Internal Medicine Physician
Primary
036.168925
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2021
Last updated
08/06/2024
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