BROADWAY MEDICAL GROUP – NPI #1306952858
Legal Medicine

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

BROADWAY MEDICAL GROUP is a provider located in CHICAGO, IL. NPPES has assigned the NPI number 1306952858 to BROADWAY MEDICAL GROUP on August 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 173000000X from the Health Care Provider Taxonomy code set, which is classified as Legal Medicine.

The NPI profile was previously updated about 16 years ago on Apr 13, 2010. See the complete NPI profile for BROADWAY MEDICAL GROUP below.

NPI Profile for
BROADWAY MEDICAL GROUP

NPI Number
1306952858
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BROADWAY MEDICAL GROUP
Primary location
4826 N. BROADWAY
CHICAGO, IL 60640
Phone: (773) 275-8333 Fax: (773) 275-9297
Mailing address
4826 N BROADWAY ST
CHICAGO, IL 60640-3604
Phone: (773) 275-8333 Fax: (773) 275-9297
Organization Subpart
No
Authorized Official
K.J. PHILIP
OWNER
Phone: (847) 475-6063
Updated
Taxonomy Code(s)

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
173000000X
- Legal Medicine (Primary)
IL 036110420

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.