Organization
BROADLEAF HEALTH AND WELLNESS
Active
Parent organization
BROADLEAF HEALTH AND WELLNESS
Other names
Broadleaf Health and Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROADLEAF HEALTH AND WELLNESS
Authorized official
MARIA ESPEJO (OWNER)
(773) 947-4607
Entity
Organization
Contact information
Practice address
3245 GROVE AVE STE 205, BERWYN, IL 60402-3476
(773) 947-4607
(773) 439-2552
Mailing address
3245 GROVE AVE STE 205, BERWYN, IL 60402-3476
(773) 947-4607
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
11/17/2020
Last updated
11/03/2024
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