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Individual

MR. BROWN EHIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6006 COLGATE LN, MATTESON, IL 60443-1995
(773) 716-6869
Mailing address
6006 COLGATE LN, MATTESON, IL 60443-1995

Taxonomy

Speciality
Code
Description
License number
State
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Primary
209025914
IL

Other

Enumeration date
09/06/2022
Last updated
12/22/2023
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