MEDICARE: DR. HOUSTON ORLANDO BROWN D.C.

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	111N00000X	Chiropractor	038011049	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	27-4434883	OTHER		TAX ID

General Provider Information

NPI Number	:	1609022078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOUSTON ORLANDO BROWN D.C.

Provider Business Mailing Address
First Line	:	3535 E NEW YORK ST STE 216
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60504-4466
Country	:	US
Telephone Number	:	630-301-9824
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 E NEW YORK ST STE 216
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60504-4466
Country	:	US
Telephone Number	:	630-301-9824
Fax Number	:

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

Provider Enumeration Date	:	08/17/2008
Last Update Date	:	12/13/2022

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