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1306952858
BROADWAY MEDICAL GROUP
CHICAGO, IL
NPI
1306952858
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Entity Type
Organization
Authorized Contact
K.J. J PHILIP
Owner
847-475-6063
Organization Subpart ?
No
Primary Taxonomy
173000000X Legal Medicine
(Licence: IL 036110420)
Enumeration Date
2006-08-21
Last Update Date
2010-04-13
Business Address
BROADWAY MEDICAL GROUP
4826 N. BROADWAY
CHICAGO, IL 60640
Phone number: 773-275-8333
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Mailing Address
BROADWAY MEDICAL GROUP
4826 N BROADWAY ST
CHICAGO, IL 60640-3604
Phone number: 773-275-8333
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