Maxwell Broadus

NPI 1740103993 · on the registry since 2026

Practice

Address: 175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061
Phone: (877) 893-5544
Fax: (877) 428-7891
Organisation at this address: Kevin Bradley, Lcsw, P.C.
Phc Of Buffalo Grove Nutrition
Ag Behavioral Health And Consulting Llc
Phc Of Buffalo Grove Clinical Psychology
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 54

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois