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NPI Code Detail

MEDICARE: HOWARD BROWN HEALTH CENTER

MEDICARE: HOWARD BROWN HEALTH CENTER
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
1122300000XDentist
2251S00000XCommunity/Behavioral Health Agency30411IL
31223G0001XGeneral Practice Dentistry
4261QF0400XFederally Qualified Health Center (FQHC)
51223P0221XPediatric Dentistry
6174H00000XHealth Educator

General Provider Information

NPI Number : 1881913531
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOWARD BROWN HEALTH CENTER
Provider Business Mailing Address
First Line : 4025 N SHERIDAN
Second Line :
City : CHICAGO
State : IL
Zip : 60613
Country : US
Telephone Number : 773-388-1600
Fax Number : 773-388-8936
Provider Business Practice Location Address
First Line : 3501 N HALSTED ST
Second Line :
City : CHICAGO
State : IL
Zip : 60657-1832
Country : US
Telephone Number : 773-388-1600
Fax Number : 773-388-8936
Authorized Official
Title or Position : BILLING MANAGER
Name : MS. BURGUNDY JOHNSON
Credential :
Telephone Number : 872-269-3491
Provider Enumeration Date : 05/20/2010
Last Update Date : 10/23/2025

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Directions to “HOWARD BROWN HEALTH CENTER ” Practice Location

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