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
Fax: (847) 520-7290
Website:

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.

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Identifiers

StateTypeNumberIssuer
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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