MEDICARE: PATRICIA BROWN M.D.

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	208D00000X	General Practice Physician	036.082516	IL
2	208000000X	Pediatrics Physician	036082516	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01621679	OTHER	IL	BCBS
2	036082516	OTHER	IL	MD LICENSE

General Provider Information

NPI Number	:	1871627117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA BROWN M.D.

Provider Business Mailing Address
First Line	:	8146 S PRAIRIE PARK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60619-4800
Country	:	US
Telephone Number	:	312-371-7949
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 LAKE ST
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60301-1424
Country	:	US
Telephone Number	:	312-567-2128
Fax Number	:	312-328-7702

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

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	06/23/2025

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Directions to “ PATRICIA BROWN M.D.” Practice Location

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