Broadleaf Health and Wellness

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BROADLEAF HEALTH AND WELLNESS

Doing business as

Broadleaf Health and Wellness

Practice address

3245 Grove Ave Ste 205
Berwyn, IL 60402-3476

Phone

(773) 947-4607

Fax

(773) 439-2552

NPI assigned

Nov 17, 2020

Organization subpart

Yes

Parent organization

BROADLEAF HEALTH AND WELLNESSAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria EspejoNPI 1821525403

Title

Owner

Phone

(773) 947-4607

Specialties & licenses 3

Addresses

Other names 1

• Broadleaf Health and Wellness Doing business as

Electronic endpoints 1

Tax ID family

Broadleaf Health and Wellness3 organizations share this tax ID, including this one

Part of

Broadleaf Health and Wellness

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Broadleaf Health and Wellness

  • Specialist
  • Berwyn, IL
  • NPI 1316477938
  NPD tax ID
• Broadleaf Health and Wellness

  • Multi-Specialty Clinic/Center
  • Berwyn, IL
  • NPI 1932700770
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Espejo, OT, CCCPA

  • Cardiology Technician
  • Darien, IL
  • NPI 1821525403
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730592000000",
    "number": "1326641986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 GROVE AVE STE 205",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023476",
            "telephone_number": "773-947-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 GROVE AVE STE 205",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023476",
            "telephone_number": "773-947-4607",
            "fax_number": "773-439-2552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3245 Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604023474",
            "country_code": "US",
            "telephone_number": "773-497-4607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BROADLEAF HEALTH AND WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROADLEAF HEALTH AND WELLNESS",
        "enumeration_date": "2020-11-17",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A",
        "authorized_official_last_name": "ESPEJO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-947-4607"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "direct",
            "affiliation": "N",
            "endpointDescription": "Information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3245 Grove Ave",
            "city": "Berwyn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604023474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Broadleaf Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Elizabeth Brennan, MD
• Brite Dental Berwyn, P.C.
• Kathleen Britten
• Mitchell Charles Britton, LCPC
• Broadleaf Health and Wellness
• Broadleaf Health and Wellness
• Robert Brochin, M.D.
• John D Brofman, M.D.
• Emily A Bronkowski, DPT
• Brooklyn Health, LLC

• Health Service Clinic/Center in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.