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Individual

DR. EUGENE W BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
773 W MELROSE ST, CHICAGO, IL 60657-3417
(773) 474-1090
Mailing address
773 W MELROSE ST, CHICAGO, IL 60657-3417
(773) 474-1090

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00321056
RAILROAD MEDICARE
Enumeration date
08/12/2005
Last updated
10/29/2007
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