Provider Demographics
NPI:1609022078
Name:BROWN, HOUSTON ORLANDO (DC)
Entity Type:Individual
Prefix:DR
First Name:HOUSTON
Middle Name:ORLANDO
Last Name:BROWN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 E NEW YORK ST STE 216
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-4466
Mailing Address - Country:US
Mailing Address - Phone:630-301-9824
Mailing Address - Fax:
Practice Address - Street 1:3535 E NEW YORK ST STE 216
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-4466
Practice Address - Country:US
Practice Address - Phone:630-301-9824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-17
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011049111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
27-4434883OtherTAX ID