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
Phone: (773) 388-1600
Fax: (773) 388-8936
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912167818 | NPPES |
Illinois | MEDICAID | 036125611 |
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