Broadway Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38010607 Issued in IL

Legal business name

BROADWAY CHIROPRACTIC INC

Practice address

5439 N Broadway St
Chicago, IL 60640-1703

Phone

(773) 784-6682

Fax

(773) 784-5735

NPI assigned

Mar 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey J Rebarcak, D.C.

Title

Owner

Phone

(773) 784-6682

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Bradley Gard, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1073798500
  NPD (past)
• Will A Zuhira, D.C.

  • Chiropractor
  • Peru, IL
  • NPI 1407030901
  NPD (past)
• Damian Edward Smith, D.C.

  • Chiropractor
  • Honolulu, HI
  • NPI 1689723157
  NPD (past)

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548387301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5439 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401703",
            "telephone_number": "773-784-6682",
            "fax_number": "773-784-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5439 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401703",
            "telephone_number": "773-784-6682",
            "fax_number": "773-784-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REBARCAK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-784-6682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38010607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003902560",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Broad, MD
• Sierra Rae Broad, DO
• Tanya Marraccini Broaded, D.C.
• Monica Broadie, RN
• Jacob David Broadrick, MSN RN
• Broadway Medical Group
• Broadway Medical Office S C
• Broadway Pharmacy Inc
• Wahab Brobbey, MD
• Rudel Broces

• 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 Aug 22, 2020; 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.