Organization
DR OUILIFE LLC
Active
Organization
DR OUILIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OUIDA L BROWN MD (PRESIDENT)
(205) 790-3602
Entity
Organization
Contact information
Practice address
640 S FEDERAL ST APT 410, CHICAGO, IL 60605-1800
(205) 790-3602
Mailing address
640 S FEDERAL ST APT 410, CHICAGO, IL 60605-1800
(205) 790-3602
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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