Individual
DR. WILLIE LEE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
016.004243
IL
213ES0131X
Foot Surgery Podiatrist
2004030548
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060101305
BCBS OF ILLINOIS
IL
01
—
016.004243
ILLINOIS LICENSE NO.
IL
05
—
016004243
—
IL
01
—
2004030548
MISSOURI LICENSE NO.
MO
05
—
303052401
—
MO
Enumeration date
02/12/2007
Last updated
06/29/2022
Update your record
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