BROWN EHIS MATTESON, IL - NPI 1912628371

Contact Information

BROWN EHIS

6006 COLGATE LN
MATTESON, IL 60443-1995

Phone: 773-716-6869
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Psychiatric/Mental Health, Child & Family	364SP0810X	89	Certified Clinical Nurse Specialist

Indicates primary specialty

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NPI Profile & details for BROWN EHIS · (Male)

NPI #	`1912628371`
Status	Active
Credentials
Entity	Individual
Enumeration date	09/06/2022
Last updated	12/22/2023 - About 2 years ago
Sole proprietor ¹	Yes
Identifiers	IL License # 209025914
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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BROWN EHISPsychiatric/Mental Health, Child & Family

Contact Information

Specialty

Psychiatric/Mental Health, Child & Family

NPI Profile & details for BROWN EHIS · (Male)

Reviews for BROWN EHIS

BROWN EHIS
Psychiatric/Mental Health, Child & Family