MEDICARE: CARRIE LYNN BROWN APN

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	363LA2100X	Acute Care Nurse Practitioner	209008144	IL

General Provider Information

NPI Number	:	1871812156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE LYNN BROWN APN

Provider Business Mailing Address
First Line	:	1006 S MICHIGAN AVE
Second Line	:	SUITE 500
City	:	CHICAGO
State	:	IL
Zip	:	60605-2254
Country	:	US
Telephone Number	:	773-726-0853
Fax Number	:	844-805-4742

Provider Business Practice Location Address
First Line	:	1006 S MICHIGAN AVE
Second Line	:	SUITE 500
City	:	CHICAGO
State	:	IL
Zip	:	60605-2254
Country	:	US
Telephone Number	:	773-726-0853
Fax Number	:	844-805-4742

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

Provider Enumeration Date	:	05/25/2010
Last Update Date	:	10/24/2024

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