Provider Demographics
NPI:1477600716
Name:BROWN, FINLEY WEBSTER JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FINLEY
Middle Name:WEBSTER
Last Name:BROWN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2511 N KEDZIE BLVD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-2634
Mailing Address - Country:US
Mailing Address - Phone:773-489-7040
Mailing Address - Fax:773-489-7729
Practice Address - Street 1:2511 N KEDZIE BLVD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-2634
Practice Address - Country:US
Practice Address - Phone:773-489-7040
Practice Address - Fax:773-489-7729
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-043293207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty