Individual
PATRICIA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
720 LAKE ST, OAK PARK, IL 60301-1424
(312) 567-2128
(312) 328-7702
Mailing address
8146 S PRAIRIE PARK PL, CHICAGO, IL 60619-4800
(312) 371-7949
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036082516
IL
208D00000X
General Practice Physician
036.082516
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBS
IL
01
—
036082516
MD LICENSE
IL
Enumeration date
03/16/2007
Last updated
06/23/2025
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