Provider Demographics
NPI:1174507560
Name:BROWN, SHERON B (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERON
Middle Name:B
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1860 PAYSPHERE CIR
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-0018
Mailing Address - Country:US
Mailing Address - Phone:630-416-1375
Mailing Address - Fax:630-416-1378
Practice Address - Street 1:1020 E OGDEN AVE
Practice Address - Street 2:SUITE 214
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8609
Practice Address - Country:US
Practice Address - Phone:630-416-1375
Practice Address - Fax:630-416-1378
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036083670207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036083670OtherSTATE LICENSE
IL588370Medicare ID - Type Unspecified
ILF37235Medicare UPIN