Provider Demographics
NPI:1386698694
Name:BROWN, ALAN STEVEN (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:STEVEN
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1512 N NAPER BLVD STE 176
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-9369
Mailing Address - Country:US
Mailing Address - Phone:630-527-2730
Mailing Address - Fax:630-526-4014
Practice Address - Street 1:801 S WASHINGTON ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-7430
Practice Address - Country:US
Practice Address - Phone:630-527-2730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036063217207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036063217Medicaid
060015691OtherRAILROAD MEDICARE
D15698Medicare UPIN
060015691OtherRAILROAD MEDICARE