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Contact Information

CHERYL R BROWN, PC
1520 CARLEMONT DR STE M
CRYSTAL LAKE, IL60014-1836
 Phone: 815-356-5060
 Fax: 815-356-7898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CHERYL R BROWN, PC

NPI Number 1083702146
LBN Legal business name CHERYL R BROWN, PC
Authorized official GREGORY COOK - (MGR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/11/2006
Last updated 11/07/2007 - About 19 years ago
Identifiers
License # 16-004864
IL Other 1625610 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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