| Broadway Medical Care Sc | |
|
414 W Lake St Addison IL 60101-2305 | |
| (708) 345-8960 | |
| Not Available |
| Full Name | Broadway Medical Care Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 414 W Lake St, Addison, Illinois |
| Authorized Official Name and Position | Peyman Pahlavan (OWNER) |
| Authorized Official Contact | 7083458960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Medical Care Sc 414 W Lake St Addison IL 60101-2305 Ph: (708) 345-8960 | Broadway Medical Care Sc 414 W Lake St Addison IL 60101-2305 Ph: (708) 345-8960 |
| NPI Number | 1710512165 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 03/05/2020 |
| Medicare PECOS PAC ID | 8224466313 |
|---|---|
| Medicare Enrollment ID | O20200324002290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710512165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Peyman Pahlavan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063450757 PECOS PAC ID: 1658278619 Enrollment ID: I20031217000598 |
| Provider Name | Afsoon Karimi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144299256 PECOS PAC ID: 1153416680 Enrollment ID: I20070928000427 |
| Provider Name | Julia Mccann-khludenev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780195701 PECOS PAC ID: 8729344254 Enrollment ID: I20191120002965 |
Medical Square Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 276 W Fullerton Ave, Addison, IL 60101 Phone: 630-543-5454 Fax: 630-543-5471 | |
Access Community Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 W Lake St, Addison, IL 60101 Phone: 773-257-6770 | |
Concentra Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 South Grace Street, Addison, IL 60101 Phone: 630-543-4040 Fax: 630-543-1050 | |
Ricardo Martinez, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 W Army Trail Blvd, Addison, IL 60101 Phone: 630-458-9200 Fax: 630-458-8460 | |
Concentra Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 S Grace St, Addison, IL 60101 Phone: 630-543-4040 Fax: 630-543-1050 | |
Bozena Scigacz Medical Office S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28 W Lake St, Suite 2, Addison, IL 60101 Phone: 630-458-0688 Fax: 630-458-0698 | |
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