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Individual

ANTHONY LEE BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3235 VOLLMER RD, SUITE 147, FLOSSMOOR, IL 60422-2013
(708) 799-2333
(708) 799-8987
Mailing address
3235 VOLLMER RD, SUITE 147, FLOSSMOOR, IL 60422-2013
(708) 799-2333
(708) 799-8987

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036040146
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036040146
IL
Enumeration date
09/15/2006
Last updated
05/26/2011
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