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Broadway Medical Group

NPI 1306952858ActiveOrganization· Legal Medicine· Chicago, IL

Legal Medicine in Chicago, Illinois, registered in NPPES in August 2006. The authorized official on file is K.J. J. Philip, MD, Owner.

Overview

NPI1306952858
StatusActive
Entity typeOrganization
NPI issuedAug 21, 2006
Last updated in NPPESApr 13, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Legal Medicine Primary173000000X036110420IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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