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BROADWAY MEDICAL GROUP
NPI 1306952858
Legal Medicine in Chicago, IL

Active since August 21, 2006
4826 N. BROADWAY, CHICAGO, IL 60640(773) 275-8333(773) 275-9297 Get Directions Write a Review

NPPES record last updated: April 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadway Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADWAY MEDICAL GROUP (NPI 1306952858) is a healthcare organization registered as a legal medicine in Chicago, Illinois and active in the NPI registry since August 2006. The organization lists K.j. J Philip, Owner, as its authorized official.

NPPES Registry Identity

NPI1306952858
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NameBROADWAY MEDICAL GROUP
Location Address4826 N. BROADWAYChicago, IL 60640
Mailing Address4826 N Broadway StChicago, IL 60640-3604 · (773) 275-8333 · Fax (773) 275-9297
Phone(773) 275-8333
Fax(773) 275-9297
Organization SubpartNo
Authorized OfficialK.j. J PhilipOwner · (847) 475-6063
Enumeration DateAugust 21, 2006
Last NPPES UpdateApril 13, 2010
✔ NPI 1306952858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
License✔ Licensed in IL · 036110420
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
4826 N. BROADWAY, Chicago, IL 60640
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Other Identifiers 1

Medicare ID-Type Unspecified212244IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadway Medical Group's NPI number?

The NPI number for Broadway Medical Group is 1306952858. It was assigned to this organization in the NPPES registry on August 21, 2006.

Where is Broadway Medical Group located?

Broadway Medical Group is located at 4826 N. Broadway, Chicago, IL 60640. The listed phone number is (773) 275-8333.

What is Broadway Medical Group's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

When was this NPI record last updated?

The NPPES record for Broadway Medical Group was last updated on April 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.