Individual
DR. KENNETH BRIAN BROWNELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-5911
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-5911
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036.157321
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036.157321
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2018
Last updated
04/15/2024
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