Individual
CHARLES BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 SKOKIE BLVD, SUITE 112, NORTHBROOK, IL 60062-1613
(224) 205-7866
Mailing address
175 INDIAN TREE DR, HIGHLAND PARK, IL 60035-5243
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036.040415
IL
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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