Individual
STACEY E. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADVANCED PRACTICE NU
Contact information
Practice address
207 N. SCHUYLER AVE., KANKAKEE, IL 60901
(815) 401-5150
(815) 401-5151
Mailing address
207 N. SCHUYLER AVE., KANKAKEE, IL 60901
(815) 401-5150
(815) 401-5151
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014076
IL
Other
Enumeration date
02/15/2017
Last updated
07/21/2022
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