NPI 1306952858
Broadway Medical Group
Practice location
- Address
- 4826 N. Broadway, Chicago, IL 60640
- Phone
- (773) 275-8333
- Fax
- (773) 275-9297
- Mailing address
- 4826 N Broadway St, Chicago, IL 60640-3604
Authorised official
- Name
- K.J. J Philip
- Title
- Owner
- Phone
- (847) 475-6063
Registered specialties
Legal Medicine
Primary
Registry record
- NPI
- 1306952858
- Entity type
- Organization
- NPI issued
- 21 Aug 2006
- Record last updated
- 13 Apr 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.