Maywood Melrose Broadview 89

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

MAYWOOD MELROSE BROADVIEW 89

Practice address

1133 S 8TH Ave
Maywood, IL 60153-1903

Phone

(708) 450-2157

Fax

(708) 450-1116

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Cynthia Broughton

Title

Superintendent

Phone

(708) 450-2157

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992820757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 S 8TH AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601531903",
            "telephone_number": "708-450-2157",
            "fax_number": "708-450-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 S 8TH AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601531903",
            "telephone_number": "708-450-2157",
            "fax_number": "708-450-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYWOOD MELROSE BROADVIEW 89",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROUGHTON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "708-450-2157"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Romila Mayer
• Ryan Franklin Mayhew, MD
• Maywood Community Pharmacy LLC
• Maywood Dental Excellence
• Maywood Family Dental, LTD
• Maywood Pharmacy Inc
• Maywood SLF I LP
• Alaleh Mazhari, D.O.
• MB Care Medical Supply Inc
• Lindsey McAlarnen, M.D.

• Student Health Clinic/Center in Maywood, IL
• Providers in Maywood, IL by specialty
• Student Health Clinic/Center 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.