Individual
DR. GREGORY M BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
19310 S HALSTED ST, GLENWOOD, IL 60425-1562
(708) 300-3132
(773) 790-4034
Mailing address
JENCARE NEIGHBORHOOD MEDICAL CENTER SOUTH CHICAGO, LLC, 2231 E. 95TH STREET, CHICAGO, IL - ILLINOIS 60617
(773) 768-7700
(312) 276-9660
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004793
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001621735
BCBS
IL
05
—
016004793
—
IL
01
—
7552001
PTAN
IL
01
—
P00245960
RAILROAD MEDICARE
IL
Enumeration date
09/20/2006
Last updated
10/24/2019
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