| Broadway Medical Center | |
|
153 1/2 N Broadway Ave Melrose Park IL 60160-3702 | |
| (708) 345-8960 | |
| (708) 345-8965 |
| Full Name | Broadway Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 153 1/2 N Broadway Ave, Melrose Park, Illinois |
| Authorized Official Name and Position | Peyman Pahlavan (PRESIDENT) |
| Authorized Official Contact | 3123719325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Medical Center 153 1/2 N Broadway Ave Melrose Park IL 60160-3755 Ph: (708) 345-8960 | Broadway Medical Center 153 1/2 N Broadway Ave Melrose Park IL 60160-3702 Ph: (708) 345-8960 |
| NPI Number | 1760429609 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 08/09/2024 |
| Medicare PECOS PAC ID | 5395749733 |
|---|---|
| Medicare Enrollment ID | O20060828000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760429609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Peyman Pahlavan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063450757 PECOS PAC ID: 1658278619 Enrollment ID: I20031217000598 |
| Provider Name | Joyce Alex |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265839625 PECOS PAC ID: 6103118302 Enrollment ID: I20160708000749 |
| Provider Name | Julia Mccann-khludenev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780195701 PECOS PAC ID: 8729344254 Enrollment ID: I20191120002965 |
| Provider Name | Kimberly Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477144020 PECOS PAC ID: 9931514007 Enrollment ID: I20210223001790 |
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Access Community Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8321 W North Ave, Melrose Park, IL 60160 Phone: 708-672-2298 | |
John N Kiriklakis, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Superior St, Suite 408, Melrose Park, IL 60160 Phone: 708-345-2035 Fax: 708-345-2040 | |
Midwest Medical Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1440 W North Ave Ste 305, Melrose Park, IL 60160 Phone: 708-338-1000 |