Individual
KENNETH BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4200 W LAKE AVE, APT B202, GLENVIEW, IL 60026-1472
(847) 845-4628
Mailing address
4200 W LAKE AVE, APT B202, GLENVIEW, IL 60026-1472
(847) 845-4628
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006272
IL
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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