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Organization
BROADWAY MEDICAL CENTER
Active
Organization
BROADWAY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEYMAN PAHLAVAN M.D. (PRESIDENT)
(312) 371-9325
Entity
Organization
Contact information
Practice address
153 1/2 N BROADWAY AVE, MELROSE PARK, IL 60160-3702
(708) 345-8960
(708) 345-8965
Mailing address
153 1/2 BROADWAY ST, MELROSE PARK, IL 60160-3702
(708) 345-8960
(708) 345-8965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
05/31/2006
Last updated
09/08/2025
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