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Organization
CHERYL R BROWN, PC
Active
Organization
CHERYL R BROWN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY B COOK (MGR)
(815) 356-5060
Entity
Organization
Contact information
Practice address
1520 CARLEMONT DR STE M, CRYSTAL LAKE, IL 60014-1836
(815) 356-5060
(815) 356-7898
Mailing address
1520 CARLEMONT DR STE M, CRYSTAL LAKE, IL 60014-1836
(815) 356-5060
(815) 356-7898
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
16-004864
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1625610
BCBS
IL
Enumeration date
10/11/2006
Last updated
11/07/2007
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