Provider Demographics
NPI:1336309871
Name:BROWN, WINCHELE C L (DC)
Entity Type:Individual
Prefix:DR
First Name:WINCHELE
Middle Name:C L
Last Name:BROWN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:WINCHELE
Other - Middle Name:C L
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:635 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6643
Mailing Address - Country:US
Mailing Address - Phone:312-543-7767
Mailing Address - Fax:
Practice Address - Street 1:635 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6643
Practice Address - Country:US
Practice Address - Phone:312-543-7767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-011170111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor