DR. WILLIE LEE BROWN (NPI# 1447392972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447392972 |
| Entity Type | Individual |
| Full Name | DR. WILLIE LEE BROWN |
| Credential | D.P.M. |
| Practice Address |
10700 Lincoln Trl Suite E Fairview Heights IL 62208-2037 |
| Mailing Address |
2917 Lafayette Ave Saint Louis MO 63104-1409 |
| Practice Telephone | 6183972307 |
| Practice Fax Number | 6183972877 |
| Mailing Telephone | 3146647406 |
| Mailing Fax Number | 3146642812 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
2004030548 | MO | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
016.004243 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 303052401 | 05 | |
| MO | MISSOURI LICENSE NO. | 2004030548 | 01 |
| IL | BCBS OF ILLINOIS | 0060101305 | 01 |
| IL | 016004243 | 05 | |
| IL | ILLINOIS LICENSE NO. | 016.004243 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265554398 | Willie Jewel Brown | Social Worker | 255 S. Wheeler Street, Jasper, TX 75951 | 2007-04-06 |
| 1376034264 | Willie Brown | Counselor | 1302 Winslow Ave, Cleveland, OH 44113-2336 | 2018-05-25 |
| 1548415193 | Willie Lee Brown | Home Health | 600 Crawford St, Suite P-d, Portsmouth, VA 23704-3820 | 2008-11-24 |
| 1043300874 | Willie Lee Brown Jr. | Obstetrics & Gynecology | 6225 N Fresno St, Ste 104, Fresno, CA 93710-5268 | 2006-10-13 |
| 1518063007 | Willie M Brown Jr. | Nurse Anesthetist, Certified Registered | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-09-15 |
| Street Address |
10700 LINCOLN TRL SUITE E |
| City | FAIRVIEW HEIGHTS |
| State | IL |
| Zip Code | 62208-2037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829647 | Stephanie Lynn Arzavala-reed | Counselor | 8.5 Canty Lane, Fairview Heights, IL 62208 | 2019-12-26 |
| 1649822156 | Preferred Behavioral Health | Community/Behavioral Health | 141 Market Place Drive, Suite 100, Fairview Heights, IL 62208 | 2019-07-15 |
| 1164929055 | Itic Support Services Inc | Psychiatry & Neurology | 141 Market Pl Ste 100, Fairview Heights, IL 62208 | 2018-04-09 |
| 1023525102 | Karen E. Reinacher | Speech-Language Pathologist | 21 Circle Dr., Fairview Heights, IL 62208 | 2018-01-10 |
| 1316465297 | Rachel Moser | Behavioral Analyst | 9510 St. Clair Ave, Fairview Heights, IL 62208 | 2017-08-31 |
| 1952826471 | Tomika Eiland | Social Worker | 413 David Dr, Fairview Heights, IL 62208 | 2017-08-05 |
| 1194113852 | Rachel Logan | Social Worker | 10850 Lincoln Trail, Suite 16 #3, Fairview Heights, IL 62208 | 2015-01-05 |
| 1255746715 | Center for Advanced Medicine LLC | Internal Medicine | 5036 N Illinois St, Suite 1, Fairview Heights, IL 62208 | 2014-06-24 |
| 1033463393 | Katherine Johnson I | Physical Therapy Assistant | 320 N Ruby Ln, Fairview Heights, IL 62208 | 2012-11-07 |
| 1508118779 | Nicole Kovacic | Physical Therapy Assistant | 5501 Perrin Drive, Fairview Heights, IL 62208 | 2012-10-11 |
| Find all providers in zip 62208 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902269301 | Jillian Cabai | Podiatrist | 3000 N Halsted St Ste 606, Chicago, IL 60657-6456 | 2016-04-01 |
| 1710279641 | Prpodiatry, LLC | Podiatrist | 433 W Briar Pl, Unit 7b, Chicago, IL 60657-4752 | 2011-05-11 |
| 1205071149 | Bradley W. Buckrop Dpm | Podiatrist | 3727 46th Ave, Suite 103, Rock Island, IL 61201-7078 | 2008-12-05 |
| 1396919130 | Marwa Sayed | Podiatrist | 7255 W 87th St Unit 1, Bridgeview, IL 60455-1821 | 2008-04-14 |
| 1013191287 | Nikola Ivancevic Dpm PC | Podiatrist | 135 S Palmer Dr, Suite 105, Elmhurst, IL 60126-3403 | 2007-12-24 |
| 1659577575 | Pam Eernisse Dpm Sc | Podiatrist | 680 N Lake Shore Dr # 1305, Chicago, IL 60611-4546 | 2007-06-26 |
| 1720118367 | Larry Allen Keyes | Podiatrist | 1023 Madison St, Oak Park, IL 60302-4404 | 2007-03-06 |
| 1548399462 | Two Steps Ahead Podiatry, Inc. | Podiatrist | 1001 E Wilson St Ste 180, Batavia, IL 60510-3168 | 2007-03-05 |
| 1972685410 | Nikola Ivancevic | Podiatrist | 5646 St Charles Rd, Suite B, Berkeley, IL 60163 | 2006-10-20 |
| 1205868551 | Angela Pezzuto | Podiatrist | 1424 E. 53rd St., Ste.301, Mitchell Foot and Ankle, Chicago, IL 60615 | 2006-07-07 |
| Find all providers with the same taxonomy | ||||
| City | FAIRVIEW HEIGHTS |
| Zip Code | 62208 |
Please comment or provide details below to improve the information on DR. WILLIE LEE BROWN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.