| NPI | 1316477938 |
|---|---|
| Former Legal Business Name | BROADLEAF HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | MARIA ESPEJO-SCHILTZ Wellness Practitioner 773-947-4607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 222Z00000X Orthotist |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2021-07-21 |