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BROADWAY MEDICAL OFFICE S C
NPI 1427271790
Internal Medicine in Chicago, IL

Active since April 11, 2007CLIA 14D0970737 · Waiver
5449 N BROADWAY ST, CHICAGO, IL 60640(773) 878-4800 Get Directions Write a Review

NPPES record last updated: April 21, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Broadway Medical Office S C NPPES

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

BROADWAY MEDICAL OFFICE S C (NPI 1427271790) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through February 22, 2028 and lists Tan Duong, Owner, as its authorized official.

NPPES Registry Identity

NPI1427271790
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBROADWAY MEDICAL OFFICE S C
Location Address5449 N BROADWAY STChicago, IL 60640-1703
Mailing Address5449 N Broadway StChicago, IL 60640-1703 · (773) 878-4800
Phone(773) 878-4800
Organization SubpartNo
Authorized OfficialTan DuongOwner · (773) 878-4800
Enumeration DateApril 11, 2007
Last NPPES UpdateApril 21, 2015
✔ NPI 1427271790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
5449 N BROADWAY ST, Chicago, IL 60640
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN594540

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0970737

Broadway Medical Office · Chicago, IL
Active · expires Feb 22, 2028
CLIA Number14D0970737
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorTan M. Duong
Laboratory Phone(773) 878-4800
Laboratory LocationBroadway Medical Office5449 North Broadway Street, Chicago, IL 60640
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TAN DUONG MD
Internal Medicine
5449 N BROADWAY ST
CHICAGO, IL 60640
Cook County (773) 878-4800
TRANDAI DENTAL CARE
Dentist
5449 N BROADWAY ST
CHICAGO, IL 60640
Cook County (773) 878-1009
DR. ANHMINH TRANDAI DMD
Dentist (General Practice)
5449 N BROADWAY ST
CHICAGO, IL 60640
Cook County (773) 878-4800

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 Office S C's NPI number?

The NPI number for Broadway Medical Office S C is 1427271790. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Broadway Medical Office S C located?

Broadway Medical Office S C is located at 5449 N Broadway St, Chicago, IL 60640. The listed phone number is (773) 878-4800.

What is Broadway Medical Office S C's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Broadway Medical Office S C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0970737) is associated with this NPI, valid through February 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Broadway Medical Office S C accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Broadway Medical Office S C as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Broadway Medical Office S C was last updated on April 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.