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Organization
BROADWAY MEDICAL CLINIC, SC
Active
Organization
BROADWAY MEDICAL CLINIC, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AFSOON KARIMI M.D. (OWNER)
(708) 343-1300
Entity
Organization
Contact information
Practice address
4009 WARREN AVE, BELLWOOD, IL 60104-2066
(708) 343-1300
(708) 345-8965
Mailing address
947 S MANNHEIM RD, WESTCHESTER, IL 60154-2515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110016
—
IL
Enumeration date
12/02/2013
Last updated
08/27/2025
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