Provider Demographics
NPI:1770538878
Name:BROWN, CLARENCE W III (DC)
Entity type:Individual
Prefix:DR
First Name:CLARENCE
Middle Name:W
Last Name:BROWN
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:118 N CLINTON ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60661-2386
Mailing Address - Country:US
Mailing Address - Phone:312-876-1600
Mailing Address - Fax:312-876-1616
Practice Address - Street 1:118 N CLINTON ST
Practice Address - Street 2:SUITE 103
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60661-2386
Practice Address - Country:US
Practice Address - Phone:312-876-1600
Practice Address - Fax:312-876-1616
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2015-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL038010595111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor