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Contact Information

LATRENDA C BROWN
2035 CHERRY AVE
HANOVER PARK, IL60133-3572
 Phone: 847-893-6663
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for LATRENDA C BROWN · (Female)

NPI # 1245900299
Status Active
Credentials
Entity Individual
Enumeration date 09/20/2021
Last updated 09/20/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 30105
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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