Provider Demographics
NPI:1932465853
Name:BROWN, LESLEY MARCUS (APN, NP-C)
Entity Type:Individual
Prefix:MS
First Name:LESLEY
Middle Name:MARCUS
Last Name:BROWN
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Gender:F
Credentials:APN, NP-C
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Mailing Address - Street 1:9500 BORMET DR
Mailing Address - Street 2:STE 204
Mailing Address - City:MOKENA
Mailing Address - State:IL
Mailing Address - Zip Code:60448-8399
Mailing Address - Country:US
Mailing Address - Phone:708-346-4044
Mailing Address - Fax:708-346-3287
Practice Address - Street 1:800 BIESTERFIELD RD
Practice Address - Street 2:SUITE # 4005
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3361
Practice Address - Country:US
Practice Address - Phone:847-593-4116
Practice Address - Fax:847-593-4135
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2018-03-16
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Provider Licenses
StateLicense IDTaxonomies
IL209009464363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health