BROADLEAF HEALTH AND WELLNESS – NPI #1932700770
Clinic/Center
BROADLEAF HEALTH AND WELLNESS is an AHC clinic located in BERWYN, IL. NPPES has assigned the NPI number 1932700770 to BROADLEAF HEALTH AND WELLNESS on November 06, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty
The NPI profile was last updated on Nov 11, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BROADLEAF HEALTH AND WELLNESS below.
NPI Profile for
BROADLEAF HEALTH AND WELLNESS
(more than 5 years ago)
BERWYN, IL 60402-3476 Phone: (773) 947-4607 Fax:
REHAB PRACTITIONER
Phone: (773) 947-4607
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for BROADLEAF HEALTH AND WELLNESS
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | PERSONAL INSURANCE | 00 | |
| medicaid | IL | 00 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM1300X - Clinic/Center / Multi-Specialty (Primary) |
||
| 2081S0010X - Physical Medicine & Rehabilitation / Sports Medicine |
||
| 111NR0400X - Chiropractor / Rehabilitation |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Health Information Exchange (HEI)
HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.
View All Endpoint(s)
- Endpoint
- direct
- Endpoint type
- CONNECT URL
- Endpoint Description
- INFORMATION
- Content Type
- CSV
- Affiliation
- N
- Endpoint Location
-
3245 GROVE AVE STE 205,
BERWYN, IL 77025-1669
- Endpoint
- office
- Endpoint type
- Other URL
- Endpoint Description
- INFORMATION
- Content Type
- OTHER
- Affiliation
- N
- Endpoint Location
-
3245 GROVE AVE STE 205,
BERWYN, IL 77025-1669