Individual
RICHARD E. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 GREENBRIAR DR, SPRINGFIELD, IL 62704-6425
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2416
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036-066252
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036066252
—
IL
Enumeration date
08/30/2006
Last updated
12/10/2008
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