Individual
DOUGLAS C BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1506 N.SIOUX DR, MARION, IL 62959-5209
(618) 519-9200
(618) 985-9155
Mailing address
109 CALIFORNIA ST, PO BOX 577, CARTERVILLE, IL 61918-0577
(618) 519-9200
(618) 985-4635
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036120519
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036120519
—
IL
Enumeration date
11/24/2008
Last updated
09/26/2018
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