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Individual

DR. LORIN MERRILL BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-1000
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965

Taxonomy

Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
01026507
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
01026507
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000089919
ANTHEM
IN
05
100168000A
IN
05
649510
IL
01
90000075
BCBS IL
IL
Enumeration date
11/03/2006
Last updated
04/15/2024
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