Individual
KEISHA D. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22919 RIDGEWAY AVE, RICHTON PARK, IL 60471-2548
(708) 359-5993
Mailing address
22919 RIDGEWAY AVE, RICHTON PARK, IL 60471-2548
(708) 359-5993
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.018982
IL
363LF0000X
Family Nurse Practitioner
71016204A
IN
Other
Enumeration date
05/20/2019
Last updated
03/14/2025
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