# BROADLEAF HEALTH AND WELLNESS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Broadleaf Health and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932700770
- **Authorized official:** MARIA ESPEJO OT/CCCPA (REHAB PRACTITIONER)
- **Authorized official phone:** (773) 947-4607

## Contact information

- **Practice address:** 3245 GROVE AVE STE 205, BERWYN, IL 60402-3476
- **Practice address phone:** (773) 947-4607
- **Mailing address:** 3245 GROVE AVE STE 205, BERWYN, IL 60402-3476
- **Mailing address phone:** (773) 947-4607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | — |
| 111NR0400X | Rehabilitation Chiropractor | — | — | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/06/2020
- **Last updated:** 11/11/2024