Individual
TASHA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 TAMPA ST, PARK FOREST, IL 60466-2434
(708) 546-7043
Mailing address
220 TAMPA ST, PARK FOREST, IL 60466-2434
(708) 546-7043
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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