Broadway Medical Office S C in Chicago - Obstetrics & Gynecology
Broadway Medical Office S C - NPI 1427271790
Broadway Medical Office S C is a Obstetrics & Gynecology in Chicago, Illinois. Broadway Medical Office S C practices all healthcare services and medical treatments related to Obstetrics & Gynecology. 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 | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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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 Obstetrics & Gynecology, and the taxonomy code that classifies this field of practice is 207V00000X.
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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