Brent Brown D.O.

NPI 1265748040 - Internal Medicine - 207R00000X

NPI Details
NPI 1265748040
Gender Male
Enumeration Date 08/31/2010
Last Updated 08/29/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
5140 N CALIFORNIA AVE
G400
CHICAGO IL, 60625-3645, US
Phone (773) 878-8200
Fax
Business Location
5019 N MOZART ST
CHICAGO IL, 60625-3615, US
Phone (773) 878-8200
Fax (773) 293-4197
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036086005
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According to our database, Brent Brown D.O. NPI is 1265748040, taxonomy code is 207R00000X and license number is 036086005, license state is located at Illinois. Brent Brown D.O. physically located at 5140 N California Ave, Chicago IL, 60625-3645. NPI Number Brent Brown D.O. has the Individual type.

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1265748040 NPI number is provided on an as is basis without warranty of any kind. 1265748040 is maintained by the National Plan & Provider Enumeration System. The contents of Brent Brown D.O. are for informational purposes only.