Broadleaf Health And Wellness
LBN: Broadleaf Health And Wellness
Broadleaf Health And Wellness is an health care organization with primary practice located at 3245 Grove Ave Ste 205 , Berwyn IL 60402-3476. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Broadleaf Health And Wellness can be contacted via phone (773) 947-4607, or through Espejo, Maria via phone (773) 947-4607.
Contact Information
Primary practice address
3245 Grove Ave Ste 205
Berwyn IL 60402-3476
Phone: (773) 947-4607
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | ||
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1932700770 |
|---|---|
| LBN Legal business name | Broadleaf Health And Wellness |
| DBA Doing business as | Broadleaf Health And Wellness |
| Authorized official | Espejo, Maria OT/CCCPA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 6th, 2020 |
| Last updated | Nov 13th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932700770 | NPPES |
| Other | 00 | PERSONAL INSURANCE | |
| MEDICAID | 00 | PERSONAL INSURANCE |
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