Brown, Gregory M

Brown, Gregory M is an sole proprietor health care provider with primary practice located at 19310 S Halsted St , Glenwood IL 60425-1562. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Brown, Gregory M can be contacted via phone (708) 300-3132.

Contact Information

Primary practice address
19310 S Halsted St Glenwood IL 60425-1562
Phone: (708) 300-3132
Fax: (773) 790-4034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016004793 Illinois

Profile Details

NPI number 1548367535
LBN Legal business name Brown, Gregory M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Oct 24th, 2019 - about 5 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 1548367535 NPPES
Illinois MEDICAID 016004793
Illinois Other 0001621735
Illinois Other 7552001
Illinois Other P00245960

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