MEDICARE: BROADWAY MEDICAL OFFICE S C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1427271790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROADWAY MEDICAL OFFICE S C

Provider Business Mailing Address
First Line	:	5449 N BROADWAY ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-1703
Country	:	US
Telephone Number	:	773-878-4800
Fax Number	:

Provider Business Practice Location Address
First Line	:	5449 N BROADWAY ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-1703
Country	:	US
Telephone Number	:	773-878-4800
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TAN DUONG
Credential	:	MD
Telephone Number	:	773-878-4800

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	04/21/2015

Similar Medicare Providers

1588976245 — DR. MALEKA RAHMAN D.O.
Practice Location Address:

5457 N BROADWAY ST
CHICAGO, IL
60640-1703

Practice Phone: 773-409-4292
Practice Fax: 773-409-4298

1902897119 — DR. ANHMINH TRANDAI DMD
Practice Location Address:

5449 N BROADWAY ST
CHICAGO, IL
60640-1703

Practice Phone: 773-878-4800
Practice Fax: 773-878-8444

1528091642 — DR. TAN DUONG MD
Practice Location Address:

5449 N BROADWAY ST
CHICAGO, IL
60640-1703

Practice Phone: 773-878-4800
Practice Fax:

1548387301 — BROADWAY CHIROPRACTIC INC
Practice Location Address:

5439 N BROADWAY ST
CHICAGO, IL
60640-1703

Practice Phone: 773-784-6682
Practice Fax: 773-784-5735

1346460557 — DR. SARAH J CHEN D.C.
Practice Location Address:

5457 N BROADWAY ST
CHICAGO, IL
60640-1703

Practice Phone: 773-506-7886
Practice Fax:

1932383379 — NOVA PAIN SPINAL CARE LLC
Practice Location Address:

5439 N BROADWAY ST
CHICAGO, IL
60640-1703

Practice Phone: 773-784-6682
Practice Fax:

Directions to “BROADWAY MEDICAL OFFICE S C ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.