Broadway Medical Group in Chicago - Legal Medicine
Broadway Medical Group - NPI 1306952858
Broadway Medical Group is a Legal Medicine in Chicago, Illinois. Broadway Medical Group practices all healthcare services and medical treatments related to Legal Medicine. The NPI Number for Broadway Medical Group is 1306952858. The last update date is 2010-04-13.
Broadway Medical Group's current location address is 4826 N Broadway St, Chicago, Illinois. You can contact this provider via phone number 7732758333 and fax number 7732759297. The mailing address for Broadway Medical Group is 4826 N Broadway St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broadway Medical Group |
|---|---|
| Address | 4826 N Broadway St, Chicago, Illinois |
| Phone Number | 7732758333 |
| Fax Number | 7732759297 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Philip J K.J. |
| Credentials | MD |
| Telephone Number | 8474756063 |
NPI Number Detail
| NPI Number | 1306952858 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2010-04-13 |
Provider Mailing Address Detail
| Address | 4826 N Broadway St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606403604 |
| Phone Number | 7732758333 |
| Fax Number | 7732759297 |
Provider's Primary Taxonomy Detail
| Speciality | Legal Medicine |
|---|---|
| Taxonomy | 173000000X |
| Licence No | 36110420 |
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Definition: The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judici |
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What is the Broadway Medical Group's unique identification number?
The Broadway Medical Group has been assigned the NPI (National Provider Identifier) Number 1306952858 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Broadway Medical Group's facilities are geographically located?
The facilities of Broadway Medical Group are physically situated at the following location: 4826 N Broadway St, Chicago, IL, 606403604.
What is the Broadway Medical Group's area of specialization and corresponding taxonomy classification?
The Broadway Medical Group's specialty field is Legal Medicine, and it falls under the taxonomy code 173000000X, which categorizes healthcare providers based on their specialties.
On what date did the Broadway Medical Group receive its 1306952858 assignment from the Centers for Medicare & Medicaid Services?
The Broadway Medical Group was assigned its 1306952858 by the Centers for Medicare & Medicaid Services on 2006-08-21.
When was the information related to Broadway Medical Group most recently updated or refreshed?
The details pertaining to the Broadway Medical Group, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-04-13.
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