Individual
MRS. PATRICIA LYNN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, FNP-BC
Contact information
Practice address
25 NORTH WINFIELD ROAD, SUITE 103, WINFIELD, IL 60190-1295
(630) 933-4487
(630) 933-2009
Mailing address
25 NORTH WINFIELD ROAD, SUITE 103, WINFIELD, IL 60190-1295
(630) 933-4487
(630) 933-2009
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.011351
IL
363LF0000X
Family Nurse Practitioner
209.011351
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
CA4748
MEDICARE RAILROAD (GROUP)
IL
01
—
F400134008
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
P01387865
MEDICARE RAILROAD (INDIVIDUAL)
IL
Enumeration date
03/21/2014
Last updated
02/19/2016
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