Broadway Medical Office S C in Chicago - Internal Medicine
Broadway Medical Office S C - NPI 1427271790
Broadway Medical Office S C is a Internal Medicine in Chicago, Illinois. Broadway Medical Office S C practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Broadway Medical Office S C is 1427271790. The last update date is 2015-04-21.
Broadway Medical Office S C's current location address is 5449 N Broadway St, Chicago, Illinois. You can contact this provider via phone number 7738784800. The mailing address for Broadway Medical Office S C is 5449 N Broadway St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broadway Medical Office S C |
|---|---|
| Address | 5449 N Broadway St, Chicago, Illinois |
| Phone Number | 7738784800 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Duong Tan |
| Credentials | MD |
| Telephone Number | 7738784800 |
NPI Number Detail
| NPI Number | 1427271790 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2015-04-21 |
Provider Mailing Address Detail
| Address | 5449 N Broadway St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606401703 |
| Phone Number | 7738784800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the Broadway Medical Office S C's 1427271790?
The Broadway Medical Office S C's NPI (National Provider Identifier) Number is 1427271790. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Broadway Medical Office S C is geographically located?
The Broadway Medical Office S C is physically situated at the following location: 5449 N Broadway St, Chicago, IL, 606401703.
What is Broadway Medical Office S C's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Broadway Medical Office S C is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Broadway Medical Office S C receive the assignment of its 1427271790 from the Centers for Medicare & Medicaid Services?
The Broadway Medical Office S C was issued its 1427271790 by the Centers for Medicare & Medicaid Services on 2007-04-11.
When was the information pertaining to Broadway Medical Office S C most recently updated or revised?
The details related to Broadway Medical Office S C, including its address, specialty, and other relevant information, were last updated or revised on 2015-04-21.
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