Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 036118263 | IL |
N | 207VG0400X | Gynecologist | 036118263 | IL |
N | 207VX0000X | Obstetrician | 036118263 | IL |
NPI | 1083827810 |
---|---|
Provider Name | Deslyn S Browne |
First Address | Bolingbrook, IL 60440-4707 |
Second Address | Chicago, IL 60622-1775 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 11/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
36118263 | LICENSE (01) | IL |