# MALCOLM BROWN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629553748
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | A-2256-0001-A | IL | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | A-2256-0001-A | IL | Yes |

## Other

- **Enumeration date:** 09/25/2018
- **Last updated:** 10/22/2018