Broadway Medical Group

LBN: Broadway Medical Group
Broadway Medical Group is an health care organization with primary practice located at 4826 N. Broadway , Chicago IL 60640. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Broadway Medical Group can be contacted via phone (773) 275-8333, or through Philip, K.J. J via phone (847) 475-6063.

Contact Information

Primary practice address
4826 N. Broadway Chicago IL 60640
Phone: (773) 275-8333
Fax: (773) 275-9297
Website:
Map and Directions
Authorized official contact:
Name: Philip, K.J. J Doctor of Medicine (MD)
Phone: (847) 475-6063

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 036110420 Illinois

Profile Details

NPI number 1306952858
LBN Legal business name Broadway Medical Group
DBA Doing business as
Authorized official Philip, K.J. J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Apr 13th, 2010 - about 15 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.

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