NPI 1124361480

The Brown Clinic P.C.

Organisation Preferred Provider Organization Swansea, IL

Practice location

Address: 4460 N Illinois St STE 7, Swansea, IL 62226-1899
Phone: (618) 222-7277
Fax: (618) 222-7305

Authorised official

Name: Ashley Renee Brown
Title: Licensed Clinical Social Worker
Phone: (618) 222-7277

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 149014435 (IL)

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Registry record

NPI: 1124361480
Entity type: Organization
NPI issued: 4 Apr 2013
Record last updated: 22 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.