Broadway Medical Clinic, SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BROADWAY MEDICAL CLINIC, SC

Practice address

4009 Warren Ave
Bellwood, IL 60104-2066

Phone

(708) 343-1300

Fax

(708) 345-8965

NPI assigned

Dec 2, 2013

Last updated

Aug 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Afsoon Karimi, M.D.NPI 1144299256

Title

Owner

Phone

(708) 343-1300

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Afsoon Karimi, MD

  • Pediatrics Physician
  • Darien, IL
  • NPI 1144299256
  Medicare reassignment Authorized official
• Rachel Dickey, PA-C

  • Physician Assistant
  • Plainfield, IL
  • NPI 1184430126
  Medicare reassignment
• Matthew Thomas Feeley, PA

  • Physician Assistant
  • Chicago, IL
  • NPI 1902685761
  Medicare reassignment
• Peyman Pahlavan, M.D.

  • Family Medicine Physician
  • Melrose Park, IL
  • NPI 1063450757
  Medicare reassignment
• Nicole Leigh Borah, APRN, FNP-C

  • Family Nurse Practitioner
  • Winter Garden, FL
  • NPI 1710785415

  IL

  Medicare reassignment

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1609207661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 S MANNHEIM RD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 WARREN AVE",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "601042066",
            "telephone_number": "708-343-1300",
            "fax_number": "708-345-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY MEDICAL CLINIC, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "KARIMI",
        "authorized_official_first_name": "AFSOON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-343-1300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110016",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Believe in Breath LLC
• Letha Annissa Bell-Jackson
• Bellwood Nursing Center LLC
• Emily E Benedict, COTA
• Caitlin Rebecca Bodner, DNP, FNP-C
• Angela Nicole Broom, L.C.S.W.
• Dinah L. Buckhoy, D.C.
• Shontayel Burrell
• Michelle Byjos, FNP-C
• Wytonya Cheri Byrd

• Family Medicine Physician in Bellwood, IL
• Providers in Bellwood, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.