MEDICARE: MIAH BROWN

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
1	376K00000X	Nurse's Aide		IL

General Provider Information

NPI Number	:	1417803537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIAH BROWN

Provider Business Mailing Address
First Line	:	1003 MICHIGAN AVE
Second Line	:
City	:	EDWARDSVILLE
State	:	IL
Zip	:	62025-4273
Country	:	US
Telephone Number	:	314-303-3446
Fax Number	:

Provider Business Practice Location Address
First Line	:	1003 MICHIGAN AVE
Second Line	:
City	:	EDWARDSVILLE
State	:	IL
Zip	:	62025-4273
Country	:	US
Telephone Number	:	314-303-3446
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

Similar Medicare Providers

1467046052 — JORDAN BOYER WALTERS
Practice Location Address:

503 E VANDALIA ST
EDWARDSVILLE, IL
62025-1893

Practice Phone: 618-432-2331
Practice Fax:

1578419685 — THE THERAPY SPACE PLLC
Practice Location Address:

503 E VANDALIA ST
EDWARDSVILLE, IL
62025-1893

Practice Phone: 217-273-1849
Practice Fax:

1417972597 — MEI HUANG M.D.
Practice Location Address:

2122 TROY RD STE 130
EDWARDSVILLE, IL
62025-2540

Practice Phone: 618-800-4595
Practice Fax: 618-800-4501

1295590156 — MORNING GLORY HOMECARE LLC
Practice Location Address:

224 S MAIN ST
EDWARDSVILLE, IL
62025-1922

Practice Phone: 618-667-8400
Practice Fax:

1568318236 — SOLOMON DAYEBGA BAKOH RN
Practice Location Address:

1913 ESIC DR
EDWARDSVILLE, IL
62025-3947

Practice Phone: 618-650-3957
Practice Fax:

1154838530 — SARAH MAE VOLLING MS, RD, LDN
Practice Location Address:

60 S STATE ROUTE 157
EDWARDSVILLE, IL
62025

Practice Phone: 913-314-0145
Practice Fax:

Directions to “ MIAH BROWN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.