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Broadway Medical Group

Legal Medicine in Chicago, IL · enumerated 2006 · authorized official K.J. Philip, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306952858

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Registry record

Entity type Organization (Type 2)
Legal business name Broadway Medical Group
Practice address 4826 N. Broadway, Chicago, IL, 60640
Fax (773) 275-9297
Enumeration date Aug 21, 2006
Last updated in NPPES Apr 13, 2010

Taxonomy & classification

173000000X Legal Medicine Other Service Providers · License 036110420 (IL) Primary

Authorized official

Name K.J. Philip
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Broadway Medical Group?
The NPI for Broadway Medical Group is 1306952858, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Broadway Medical Group?
NPPES lists K.J. Philip (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-04-13.