Sader, Samer B

Sader, Samer B is an individual health care provider with primary practice located at 420 Ne Glen Oak Ave Ste 401 , Peoria IL 61603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Sader, Samer B can be contacted via phone (309) 676-8123.

Contact Information

Primary practice address
420 Ne Glen Oak Ave Ste 401 Peoria IL 61603
Phone: (309) 676-8123
Fax: (309) 676-8455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036112702 Illinois

Profile Details

NPI number 1831220318
LBN Legal business name Sader, Samer B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated May 25th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831220318 NPPES
Illinois Other P002317498 RAILROAD MEDICARE
Illinois MEDICAID 036112702 RAILROAD MEDICARE

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