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Individual

NORM BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
19432 ELM DR, COUNTRY CLUB HILLS, IL 60478
(708) 351-9300
Mailing address
19432 ELM DR, COUNTRY CLUB HILLS, IL 60478-5856
(708) 351-9300

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
B650-6246-8210
IL
251S00000X
Community/Behavioral Health Agency
Primary
B650-6246-8210
IL

Other

Enumeration date
04/09/2015
Last updated
04/09/2015
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