| NPI | 1861770182 |
|---|---|
| Other Name | BROAD ENTERPRISES, INC. |
| Entity Type | Organization |
| Authorized Contact | YASER A MAKSOUD President And CEO 312-731-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 238.000220) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |