DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN PHILLIPPE BROADNAX, M.D.

Active

DR. JOHN PHILLIPPE BROADNAX, M.D. is a Pain Medicine (Anesthesiology) healthcare provider located in LIBERTYVILLE, Illinois. NPI 1457409104 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (Anesthesiology) · LIBERTYVILLE, IL

Registration Details

NPI Number
1457409104
Provider Type
Individual
Gender
Male
NPI Issued
Jan 8, 2007 (19.63405354616 yrs)
Last Updated
Oct 31, 2016
Licenses
225876 (MA)
036124156 (IL)

Practice Information

Address
1880 W WINCHESTER RD STE 101
LIBERTYVILLE, IL, 600485321
Browse IL providers · Browse ZIP 60048
Phone
8472819543
Primary Specialty
Pain Medicine (Anesthesiology)
207LP2900X

Other Pain Medicine (Anesthesiology) Providers in LIBERTYVILLE, IL

Name Credential NPI
SHIN Y WEE MD 1447225198
STEVEN MARQUARDT MD 1972578227
BRUCE WILLIAM IRWIN M.D. 1891757720
DR. JAY HURH M.D. 1225100712
DR. PARTH HIMANSU SHAH M.D. 1902252810
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.