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Contact Information

BROADLEAF HEALTH AND WELLNESS
3245 GROVE AVE
BERWYN, IL60402-3474
 Phone: 773-947-4607
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Orthotist

222Z00000X 55 Individual Certified Orthotist
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for BROADLEAF HEALTH AND WELLNESS

NPI # 1316477938
LBN Legal business name BROADLEAF HEALTH AND WELLNESS
Authorized official MARIA ESPEJO-SCHILTZ - (WELLNESS PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2017
Last updated 07/21/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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