Organization
MAYWOOD MELROSE BROADVIEW 89
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA BROUGHTON (SUPERINTENDENT)
(708) 450-2157
Entity
Organization
Contact information
Practice address
1133 S 8TH AVE, MAYWOOD, IL 60153-1903
(708) 450-2157
(708) 450-1116
Mailing address
1133 S 8TH AVE, MAYWOOD, IL 60153-1903
(708) 450-2157
(708) 450-1116
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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