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NPI Code Detail

MEDICARE: JULYETH BROWN

MEDICARE: JULYETH BROWN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker150.111250IL

General Provider Information

NPI Number : 1265301980
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULYETH BROWN
Provider Business Mailing Address
First Line : 11950 HERON LAKE RD
Second Line :
City : SAINT JOHN
State : IN
Zip : 46373-9073
Country : US
Telephone Number : 213-999-3175
Fax Number :
Provider Business Practice Location Address
First Line : 3020 N KIMBALL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-6812
Country : US
Telephone Number : 773-484-7948
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2025
Last Update Date : 10/31/2025

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