Broadway Medical Group
Broadway Medical Group is a Legal Medicine in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
4826 N BroadwayChicago, IL 60640
Phone: (773) 275-8333
Fax: (773) 275-9297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Legal Medicine (primary) | Taxonomy 173000000X · Licence 036110420 (IL) |
|---|
Record details
| NPI number | 1306952858 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | K.J. Philip — Owner · (847) 475-6063 |
| NPI enumerated | August 21, 2006 |
| Last updated in NPPES | April 13, 2010 |
| Mailing address | 4826 N Broadway St, Chicago, IL 60640-3604 |
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