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BROADLEAF HEALTH AND WELLNESS NPI 1316477938


NPI Information

NPI: 1316477938
Provider Name: BROADLEAF HEALTH AND WELLNESS

Former Legal Business Name: BROADLEAF HEALTHCARE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3245 GROVE AVE
BERWYN, IL
ZIP 60402
Phone: (773) 947-4607
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BROADLEAF HEALTH AND WELLNESS is a specialist in Berwyn, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BROADLEAF HEALTH AND WELLNESS NPI is 1316477938. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Broadleaf Healthcare.

The provider's business location address is:

3245 GROVE AVE
BERWYN, IL
ZIP 60402-474
Phone: (773) 947-4607

The provider's authorized official is Maria Espejo-schiltz .
The authorized official title is Wellness Practitioner and has the following contact phone number (773) 947-4607.

The enumeration date for this NPI number is 6/15/2017 and was last updated on 7/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes
2222Z00000XOrthotistNo
3335E00000XProsthetic/Orthotic SupplierNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.