Brown, Cory A

Brown, Cory A is an individual health care provider with primary practice located at 4025 N Sheridan Rd , Chicago IL 60613-2010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Brown, Cory A can be contacted via phone (773) 388-1600.

Contact Information

Primary practice address
4025 N Sheridan Rd Chicago IL 60613-2010
Fax: (773) 388-8936
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036.125611 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036.125611 Illinois

Profile Details

NPI number 1912167818
LBN Legal business name Brown, Cory A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2008
Last updated Sep 19th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912167818 NPPES
Illinois MEDICAID 036125611

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