Broad, Sierra Rae

Broad, Sierra Rae is an individual health care provider with primary practice located at 1750 W Harrison St Ste 775 , Chicago IL 60612-3825. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Broad, Sierra Rae can be contacted via phone (312) 942-5000.

Contact Information

Primary practice address
1750 W Harrison St Ste 775 Chicago IL 60612-3825
Phone: (312) 942-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 125.082234 Illinois

Profile Details

NPI number 1790478550
LBN Legal business name Broad, Sierra Rae
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2023
Last updated May 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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