Individual provider · Type 1 NPI

Maria B. Broadstreet, CPNP

Nurse Practitioner · Oak Lawn, IL

NPI number 1316978992 Active

Practice location

4400 W 95th St Ste 106
Oak Lawn, IL 60453-2656

Call (708) 684-5580 Map

Fax (708) 684-4068

Mailing address

29373 Network Pl
Chicago, IL 60673-3717

Other practice locations

2300 N Childrens Plz, Chicago, IL 60614-3363 · (773) 880-3681

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner	363LP0200X	209004364 (IL)
Nurse Practitioner Primary	363L00000X	209004364 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1316978992

Maria B. Broadstreet, CPNP's National Provider Identifier is 1316978992, issued on Jul 5, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Oak Lawn, IL. The record was last updated on Jun 18, 2025.