Tanya Marraccini Broaded, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.011107 Issued in IL

Practice address

720 W Maxwell St
Chicago, IL 60607-5017

Phone

(312) 733-6940

NPI assigned

Jun 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11209/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• National University of Health Sciences

  • Chiropractor
  • Lombard, IL
  • NPI 1316079775
  NPD (past)

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

{
    "created_epoch": "1212796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212796800000",
    "number": "1437318185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 S STATE ST",
            "address_2": "UNIT 510",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052964",
            "telephone_number": "312-399-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W MAXWELL ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606075017",
            "telephone_number": "312-733-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADED",
        "first_name": "TANYA",
        "middle_name": "MARRACCINI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-07",
        "last_updated": "2008-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Brna, MD
• Nahrin Brndaro
• Broad Horizons Psychotherapy
• Allison Broad, MD
• Sierra Rae Broad, DO
• Monica Broadie, RN
• Jacob David Broadrick, MSN RN
• Broadway Chiropractic Inc
• Broadway Medical Group
• Broadway Medical Office S C

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2008; 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.