MEDICARE: DR. FINLEY WEBSTER BROWN JR. M.D.

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
1	207Q00000X	Family Medicine Physician	036-043293	IL

General Provider Information

NPI Number	:	1477600716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FINLEY WEBSTER BROWN JR. M.D.

Provider Business Mailing Address
First Line	:	2511 N KEDZIE BLVD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-2634
Country	:	US
Telephone Number	:	773-489-7040
Fax Number	:	773-489-7729

Provider Business Practice Location Address
First Line	:	2511 N KEDZIE BLVD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-2634
Country	:	US
Telephone Number	:	773-489-7040
Fax Number	:	773-489-7729

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	07/08/2007

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