Nicholas Michael Brown, M.D.
Orthopaedic Surgery in Maywood, IL. Individual provider (NPI-1).
NPI number1972899748
StatusActive
Last updated in NPPESOct 26, 2020
Details
- NPI
- 1972899748
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Michael Brown
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2011
- Certification date
- Oct 26, 2020
- Last updated
- Oct 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 036143090 | IL | Yes |
| 207XS0114X | Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | 036143090 | IL |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 319-400-4327
Mailing address
2160 S 1st AveMaywood, IL 60153-3328
Phone 319-400-4327
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