Organization
EPSS LLC- LAKESIDE SERIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES T BROWN MD (OWNER)
(773) 271-9040
Entity
Organization
Contact information
Practice address
850 W IRVING PARK RD, CHICAGO, IL 60613-3077
(773) 525-6780
Mailing address
PO BOX 8122, FORT WORTH, TX 76124-0122
(817) 451-4208
(817) 563-3699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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