Individual
DR. WILLIE LEE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3700 N BELT W, BELLEVILLE, IL 62226-5629
(618) 236-2207
(618) 236-2377
Mailing address
PO BOX 2682, EAST SAINT LOUIS, IL 62202-2682
(618) 236-2207
(618) 236-2377
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
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