Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broadway Medical Care SC

Organization Internal Medicine Physician · NPI 1710512165

Broadway Medical Care SC is an Internal Medicine Physician in Addison, Illinois. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

414 W Lake St
Addison, IL 60101-2305
Phone: (708) 345-8960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1710512165
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peyman Pahlavan — Owner · (708) 345-8960
NPI enumeratedMarch 5, 2020
Last updated in NPPESMarch 5, 2020
Certification dateMarch 5, 2020
Mailing address414 W Lake St, Addison, IL 60101-2305

Other providers in Addison