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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
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1205344603
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOWARD BROWN HEALTH CENTER
Provider Business Mailing Address
First Line : 4025 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2010
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3948 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2935
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 : 872-629-3491
Provider Enumeration Date : 01/19/2018
Last Update Date : 04/10/2025

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Directions to “HOWARD BROWN HEALTH CENTER ” Practice Location

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