| NPI | 1366589962 |
|---|---|
| Doing Business As | M PHYSICIANS BROADWAY FAMILY MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM SIBERT CFO 312-560-5317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2024-12-04 |