Healthcare Provider Details

I. General information

NPI: 1871627117
Provider Name (Legal Business Name): PATRICIA BROWN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA BROWN MD

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 LAKE ST
OAK PARK IL
60301-1424
US

IV. Provider business mailing address

8146 S PRAIRIE PARK PL
CHICAGO IL
60619-4800
US

V. Phone/Fax

Practice location:
  • Phone: 312-567-2128
  • Fax: 312-328-7702
Mailing address:
  • Phone: 312-371-7949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number036.082516
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036082516
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: