Organization
BROADLEAF HEALTH AND WELLNESS
Active
Other names
Broadleaf Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ESPEJO-SCHILTZ OT (WELLNESS PRACTITIONER)
(773) 947-4607
Entity
Organization
Contact information
Practice address
3245 GROVE AVE, BERWYN, IL 60402-3474
(773) 947-4607
Mailing address
3245 GROVE AVE, BERWYN, IL 60402-3474
(773) 947-4607
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
222Z00000X
Orthotist
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
06/15/2017
Last updated
07/21/2021
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