Broadway Medical Care Sc

NPI #1710512165 in Addison, Illinois

Provider Information

NPI Number: 1710512165
Entity Type: Organization
Organization Name: Broadway Medical Care Sc
Primary Specialty: Internal Medicine
Enumeration Date: Mar 5, 2020
Last Updated: Mar 5, 2020

Practice Location

Address: 414 W LAKE ST
City: Addison
State: Illinois
ZIP Code: 60101-2305
Phone: (708) 345-8960

Authorized Official

Name: PEYMAN PAHLAVAN, MD
Title: OWNER
Phone: (708) 345-8960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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