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Individual

OUIDA BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(312) 567-7616
(312) 567-6682
Mailing address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(312) 567-7616
(312) 567-6682

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
036.144255
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F400129053
MEDICARE PTAN
IL
Enumeration date
05/21/2007
Last updated
08/02/2016
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