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Organization
BROWN PODIATRIC MEDICAL CENTRE PC
Active
Organization
BROWN PODIATRIC MEDICAL CENTRE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE BROWN DPM (PRESIDENT)
(217) 787-9192
Entity
Organization
Contact information
Practice address
405 S MACARTHUR BLVD, SPRINGFIELD, IL 62704-1742
(217) 787-9192
Mailing address
405 S MACARTHUR BLVD, SPRINGFIELD, IL 62704-1742
(217) 787-9192
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480001879
RAILROAD MEDICARE
IL
01
—
8415027
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/22/2006
Last updated
01/07/2015
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