| NPI | 1447507363 |
|---|---|
| Doing Business As | BROADWAY EYE INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | MALEKA P RAHMAN President 773-409-4292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036128847) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2021-12-09 |