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Individual

DANIEL R BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
5620 N MAR VISTA DR, PEORIA, IL 61614-3847
(207) 692-3969
Mailing address
5620 N MAR VISTA DR, PEORIA, IL 61614-3847
(207) 692-3969

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209-035696
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IL

Other

Enumeration date
08/21/2023
Last updated
05/29/2026
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