National Provider Identifier Database

BROADLEAF HEALTH AND WELLNESS
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

BROADLEAF HEALTH AND WELLNESS
3245 GROVE AVE
BERWYN, IL60402-3474
Phone: 773-947-4607
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Orthotist 222Z00000X
Prosthetic/Orthotic Supplier 335E00000X

* Indicates primary specialty

NPI Profile & details for BROADLEAF HEALTH AND WELLNESS

NPI Number 1316477938
Legal business name
LBN
BROADLEAF HEALTH AND WELLNESS
Authorized official MARIA ESPEJO-SCHILTZ - (WELLNESS PRACTITIONER)
Entity Organization
Organization subpart No
Enumeration date 06/15/2017
Last updated 07/21/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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