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BROAD ENTERPRISES, INC.
NPI 1861770182
Physician Assistant - Surgical in Oak Lawn, IL

Active since August 03, 2011
4440 W 95TH ST, ADVOCATE MEDICAL GROUP - SURGICAL PARTNERS, OAK LAWN, IL 60453(312) 731-4949 Get Directions Write a Review

NPPES record last updated: August 3, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Broad Enterprises, Inc. NPPES

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

BROAD ENTERPRISES, INC. (NPI 1861770182) is a healthcare organization registered as a surgical in Oak Lawn, Illinois and active in the NPI registry since August 2011. The organization lists Yaser A Maksoud, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1861770182
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameSURGICAL PARTNERS
Location Address4440 W 95TH ST, ADVOCATE MEDICAL GROUP - SURGICAL PARTNERSOak Lawn, IL 60453-2600
Mailing AddressPo Box 437, Surgical PartnersChicago Ridge, IL 60415-0437 · (312) 731-4949
Phone(312) 731-4949
Organization SubpartNo
Authorized OfficialYaser A MaksoudPresident And Ceo · (312) 731-4949
Enumeration DateAugust 3, 2011
✔ NPI 1861770182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 238.000220
4440 W 95TH ST, Oak Lawn, IL 60453
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Other Names 1

Other NameBroad Enterprises, Inc.

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

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.

DR. MARK ADRIAN FAASSE MD
Urology
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-4557
DR. MANDY LUMA ENSHIWAT M.D.
Internal Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-8000
DR. KIM MARIE MIILLER MA, PSYD
Psychologist (Clinical)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-7482
JENNIFER MARSIGLIO
Occupational Therapist (Physical Rehabilitation)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5425
TRACI LYNN TAGUE MA, CCC-SLP
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-1989
ELIZABETH A FOLLIARD OTR/L
Occupational Therapist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5369
MICHAEL CIRONE M.D.
Emergency Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5375
ANNA MANILLA
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (248) 701-7523

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 Surgical Partners's NPI number?

The NPI number for Surgical Partners is 1861770182. It was assigned to this organization in the NPPES registry on August 3, 2011. The provider is also known as Broad Enterprises, Inc..

Where is Surgical Partners located?

Surgical Partners is located at 4440 W 95th St Advocate Medical Group - Surgical Partners, Oak Lawn, IL 60453. The listed phone number is (312) 731-4949.

What is Surgical Partners's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Surgical Partners was last updated on August 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.