Organization
BROADLEAF HEALTH AND WELLNESS
Active
Organization
BROADLEAF HEALTH AND WELLNESS
Active
Other names
Broadleaf Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ESPEJO OT/CCCPA (REHAB PRACTITIONER)
(773) 947-4607
Entity
Organization
Contact information
Practice address
3245 GROVE AVE STE 205, BERWYN, IL 60402-3476
(773) 947-4607
Mailing address
3245 GROVE AVE STE 205, BERWYN, IL 60402-3476
(773) 947-4607
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00
PERSONAL INSURANCE
—
05
—
00
—
IL
Enumeration date
11/06/2020
Last updated
11/11/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up