Organization
BRENT BROWN, D.O LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT A BROWN D.O (PHYSICIAN)
(219) 689-4416
Entity
Organization
Contact information
Practice address
1151 N. DAMEN AVE., 3C, CHICAGO, IL 60622-6999
(219) 689-4416
Mailing address
1157 N. DAMEN AVE, APT 3C, CHICAGO, IL 60622-6999
(219) 689-4416
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.131728
IL
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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