Healthcare Provider Details

I. General information

NPI: 1669464996
Provider Name (Legal Business Name): MARGARET E BROWNLIE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 09/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 MELROSE ST
WESTMONT IL
60559-5109
US

IV. Provider business mailing address

23 MELROSE ST
WESTMONT IL
60559-5109
US

V. Phone/Fax

Practice location:
  • Phone: 708-579-1003
  • Fax:
Mailing address:
  • Phone: 708-579-1003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038005383
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: