Broadnax, John Phillippe

Broadnax, John Phillippe is an individual health care provider with primary practice located at 1880 W Winchester Rd Ste 101 , Libertyville IL 60048-5321. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Broadnax, John Phillippe can be contacted via phone (847) 281-9543.

Contact Information

Primary practice address
1880 W Winchester Rd Ste 101 Libertyville IL 60048-5321
Phone: (847) 281-9543
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 225876 Massachusetts
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036124156 Illinois

Profile Details

NPI number 1457409104
LBN Legal business name Broadnax, John Phillippe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Oct 31st, 2016 - about 8 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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