BROADWAY YOUTH CENTER
NPI 1699109546
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Active since August 28, 2013
4009 N BROADWAY ST, CHICAGO, IL 60613(773) 935-3151 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Broadway Youth Center NPPES

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

BROADWAY YOUTH CENTER (NPI 1699109546) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since August 2013. The organization lists Burgundy Johnson, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1699109546
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameHOWARD BROWN HEALTH CENTER
Location Address4009 N BROADWAY STChicago, IL 60613-2110
Mailing Address4025 N Sheridan RdChicago, IL 60613-2010 · (773) 935-3151
Organization SubpartNo
Authorized OfficialBurgundy JohnsonCredentialing · (872) 629-3491
Enumeration DateAugust 28, 2013
Last NPPES UpdateJune 27, 2022
NPPES CertifiedJune 27, 2022
NPI 1699109546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
4009 N BROADWAY ST, Chicago, IL 60613

Other Names 1

Doing Business AsBroadway Youth Center

Other Providers at the Same Location NPPES 20

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

Physician Assistant (Medical)
4009 N BROADWAY ST
CHICAGO, IL 60613
Internal Medicine
4009 N BROADWAY ST
CHICAGO, IL 60613
Psychiatry & Neurology (Psychiatry)
4009 N BROADWAY ST
CHICAGO, IL 60613
Physician Assistant
4009 N BROADWAY ST
CHICAGO, IL 60613
Dentist (General Practice)
4009 N BROADWAY ST
CHICAGO, IL 60613
Family Medicine
4009 N BROADWAY ST
CHICAGO, IL 60613
Family Medicine
4009 N BROADWAY ST
CHICAGO, IL 60613
Nurse Practitioner (Psychiatric/Mental Health)
4009 N BROADWAY ST
CHICAGO, IL 60613

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 Howard Brown Health Center's NPI number?

The NPI number for Howard Brown Health Center is 1699109546. It was assigned to this organization in the NPPES registry on August 28, 2013. The provider is doing business as Broadway Youth Center.

Where is Howard Brown Health Center located?

Howard Brown Health Center is located at 4009 N Broadway St, Chicago, IL 60613. The listed phone number is (773) 935-3151.

What is Howard Brown Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Howard Brown Health Center was last updated on June 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.