Broadway Medical Center
Organization Active NPI Family Medicine Physician · Melrose Park, IL
NPI 1760429609 · NPPES record last updated Sep 8, 2025
Key facts
- NPI
- 1760429609
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BROADWAY MEDICAL CENTER
- Practice address
- 153 1/2 N Broadway Ave
Melrose Park, IL 60160-3702 - Phone
- (708) 345-8960
- Fax
- (708) 345-8965
- NPI assigned
- May 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Peyman Pahlavan, M.D.
- Title
- President
- Phone
- (312) 371-9325
Practitioners 17
-
Joyce Alex, APNP
-
Afsoon Karimi, MD
-
Kimberly Lopez, DNP, CNP, FPA-APRN
-
Julia McCann-Khludenev, DNP, FNP-BC
-
Peyman Pahlavan, M.D.
-
Sarai Alvarez, PA-C
-
Rachel Dickey, PA-C
-
Alvina Shaikh, PA-C
-
Nicole Leigh Borah, APRN, FNP-C
-
Sarena Richardson, FNP-C
-
Robert Kaplan, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060828000090 | IL | Part B Supplier - Clinic/Group Practice | 5395749733 |
Receives reassigned benefits from 14 practitioners Practice locations: Melrose Park, IL |
National Provider Directory
Locations
153 1/2 Broadway St
Melrose Park, IL 60160
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Clinic/Center | 261Q00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
153 1/2 N Broadway Ave
Melrose Park, IL 60160-3702
Mailing address
153 1/2 Broadway St
Melrose Park, IL 60160-3702
Phone (708) 345-8960
Other providers in Melrose Park, IL
- Giancarlo Bonifazi
- Borys Sumyk, M.D., S.C.
- Dimitra Maria Bouzanis
- Stephanie Brackett
- Case Edward Brewer
- Broadway Orthopedics LTD
- Aliya K Brooks
- Loren Brooks
- Heidi L. Brown
- Leah R Brown
All providers in Melrose Park, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.