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BROADWAY MEDICAL CENTER NPI 1760429609


NPI Information

NPI: 1760429609
Provider Name: BROADWAY MEDICAL CENTER
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
153 1/2 BROADWAY ST
MELROSE PARK, IL
ZIP 60160
Phone: (708) 345-8960
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BROADWAY MEDICAL CENTER is a clinic center in Melrose Park, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BROADWAY MEDICAL CENTER NPI is 1760429609. The provider is registered as an organization entity type.

The provider's business location address is:

153 1/2 BROADWAY ST
MELROSE PARK, IL
ZIP 60160-755
Phone: (708) 345-8960
Fax: (708) 345-8965

The provider's authorized official is Peyman Pahlavan .
The authorized official title is President and has the following contact phone number (312) 371-9325.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 6/3/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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