BROADLEAF HEALTH AND WELLNESS NPI 1326641986

NPI Information

NPI: 1326641986
Provider Name: BROADLEAF HEALTH AND WELLNESS

Doing Business As: BROADLEAF HEALTH AND WELLNESS

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
3245 GROVE AVE STE 205
BERWYN, IL
ZIP 60402
Phone: (773) 947-4607
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BROADLEAF HEALTH AND WELLNESS is a health service clinic center in Berwyn, IL. BROADLEAF HEALTH AND WELLNESS NPI is 1326641986. The provider is registered as an organization entity type.
The provider Is Doing Business As Broadleaf Health And Wellness.

The provider's business location address is:

3245 GROVE AVE STE 205
BERWYN, IL
ZIP 60402-476
Phone: (773) 947-4607
Fax: (773) 439-2552

The provider's authorized official is Maria Espejo .
The authorized official title is Rehab Practitioner and has the following contact phone number (773) 497-4607.

The enumeration date for this NPI number is 11/17/2020 and was last updated on 8/18/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	No
2	405300000X	Prevention Professional		No
3	261QH0100X	Clinic/Center	Health Service	Yes

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

NPI Synchronization or Removal

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