Healthcare Provider Details

I. General information

NPI: 1447298096
Provider Name (Legal Business Name): LAURA SUE GILES-BROWN CRT, RCP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 SKOKIE BLVD SUITE 440
NORTHBROOK IL
60062-1601
US

IV. Provider business mailing address

211 N ELMHURST RD
PROSPECT HTS IL
60070-1510
US

V. Phone/Fax

Practice location:
  • Phone: 847-656-0353
  • Fax:
Mailing address:
  • Phone: 847-394-0241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2278P1005X
TaxonomyPulmonary Rehabilitation Certified Respiratory Therapist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: