Healthcare Provider Details

I. General information

NPI: 1427299692
Provider Name (Legal Business Name): KAMEKA BROWN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2009
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 WEST HARRISON ST SUITE 803103
CHICAGO IL
60680
US

IV. Provider business mailing address

1440 W TAYLOR ST # 1865
CHICAGO IL
60607-4623
US

V. Phone/Fax

Practice location:
  • Phone: 773-299-1515
  • Fax: 347-587-8363
Mailing address:
  • Phone: 773-299-1515
  • Fax: 347-587-8363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60191808
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277001242
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209007506
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN10036676
License Number StateMA
# 5
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number277001242
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: