Brown, Jess
Brown, Jess is an individual health care provider with primary practice located at 1156 W Lake Cook Rd , Buffalo Grove IL 60089-1979. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Brown, Jess can be contacted via phone (847) 520-7264.Contact Information
Primary practice address
1156 W Lake Cook Rd
Buffalo Grove IL 60089-1979
Phone: (847) 520-7264
Fax: (847) 520-7290
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT870705 | District of Columbia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070015935 | Illinois |
Profile Details
| NPI number | 1003971300 |
|---|---|
| LBN Legal business name | Brown, Jess |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Nov 26th, 2008 - about 16 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 | 1003971300 | NPPES |
| Illinois | Other | 567700 | MEDICARE GROUP NUMBER |
| Illinois | Other | 568150 | MEDICARE GROUP NUMBER |
| Illinois | Other | 1619908 | MEDICARE GROUP NUMBER |
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