Most Relevant Information
Provider Data
| NPI Number: | 1003526682 |
| Provider Name: | ANDRE BROWN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/05/2022 |
| Last Updated: | 12/05/2022 |
Provider Practice Location
656 E 83RD PL
CHICAGO
IL
606195806
Practice Location Phone/Fax
| Phone: | 7732256455 |
| Fax: |
Provider Mailing Location
656 E 83RD PL
CHICAGO
IL
606195806
Provider Mailing Phone/Fax
| Phone: | 7732256455 |
| Fax: |