Provider Demographics
NPI:1154715407
Name:DR. H O BROWN PC
Entity type:Organization
Organization Name:DR. H O BROWN PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOUSTON
Authorized Official - Middle Name:ORLANDO
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-978-8600
Mailing Address - Street 1:3535 E NEW YORK ST
Mailing Address - Street 2:SUITE 216
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-4465
Mailing Address - Country:US
Mailing Address - Phone:630-978-8600
Mailing Address - Fax:
Practice Address - Street 1:3535 E NEW YORK ST
Practice Address - Street 2:SUITE 216
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-4465
Practice Address - Country:US
Practice Address - Phone:630-978-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011049111N00000X
IL1457392037207R00000X
IL070016409261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty