OrganizationActive
Broadway Medical Group
NPI 1306952858 · Legal Medicine · Chicago, IL
Broadway Medical Group is a Legal Medicine organization in Chicago, IL (NPI 1306952858).
Provider details
- NPI number
- 1306952858
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- K.j. Philip, Owner(847) 475-6063
- License
- 036110420 (IL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4826 N. Broadway
Chicago, IL 60640
Phone: (773) 275-8333
Fax: (773) 275-9297
Street-level locationGet directions
Mailing address
4826 N Broadway St
Chicago, IL 60640-3604
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2010-04-13
Frequently asked questions
- What is Broadway Medical Group's NPI number?
- Broadway Medical Group's National Provider Identifier (NPI) is 1306952858, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Medical Group?
- Broadway Medical Group is classified in the NPPES registry as Legal Medicine (Other Service Providers).
- Where is Broadway Medical Group located?
- Broadway Medical Group's practice location on file with NPPES is 4826 N. Broadway, Chicago, IL 60640.
- What is Broadway Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Broadway Medical Group is (773) 275-8333.
- Who is the authorized official for Broadway Medical Group?
- The authorized official listed on Broadway Medical Group's NPPES record is K.j. Philip, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Medical Group's NPI active?
- Yes — Broadway Medical Group's NPI (1306952858) is active in the NPPES registry as of the last update on 2010-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.