Brown'S Family Medicine LLC
Family Medicine in Carbondale, IL. Organization (NPI-2).
NPI number1215256565
StatusActive
Last updated in NPPESMay 26, 2010
Details
- NPI
- 1215256565
- Entity type
- Organization (NPI-2)
- Legal business name
- Brown'S Family Medicine LLC
- Organization subpart
- No
- Enumeration date
- May 26, 2010
- Last updated
- May 26, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036120519 | IL | Yes |
Practice location
207 W Jackson StCarbondale, IL 62901-1408
Phone 618-351-9559
Mailing address
207 W Jackson StCarbondale, IL 62901-1408
Phone 618-351-9559
Authorized official
Douglas C Brown
President
6183519559
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