Individual
HENRY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
2160 S FIRST AVE, (EMS BLDG., RM. 2209), MAYWOOD, IL 60153
(708) 216-3250
(708) 216-2620
Mailing address
2160 S FIRST AVE, (EMS BLDG., RM. 2209), MAYWOOD, IL 60153
(708) 216-3250
(708) 216-2620
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
36110100
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36110100
—
IL
Enumeration date
01/20/2006
Last updated
12/13/2021
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