Individual
RYAN JOSEPH BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-2600
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041494330
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
209030035
IL
Other
Enumeration date
06/14/2024
Last updated
11/05/2024
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