Malcolm Brown, is a
Psychiatry & Neurology - Addiction Medicine based in Chicago, Illinois. Malcolm Brown is licensed to practice in Illinois (license number A-2256-0001-A) and his current practice location is
176 N Leclaire Ave, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at
(773) 688-5299.
NPI number for Malcolm Brown is 1629553748 and his current mailing address is 176 N Leclaire Ave, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629553748.
Healthcare Provider's Profile
| Full Name | Malcolm Brown |
|---|
| Gender | Male |
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| Speciality | Psychiatry & Neurology - Addiction Medicine |
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| Location | 176 N Leclaire Ave, Chicago, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629553748
- Provider Enumeration Date: 09/25/2018
- Last Update Date: 10/22/2018
Medical Identifiers
Medical identifiers for Malcolm Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629553748 | NPI | - | NPPES |
| 1629553748 | Medicaid | IL | |
| 008144 | Medicaid | IL | |
| A-2256-0001-A | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | A-2256-0001-A (Illinois) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | A-2256-0001-A (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Malcolm Brown is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Malcolm Brown,
176 N Leclaire Ave,
Chicago, IL 60644-3413
Ph: (773) 688-5299 | Malcolm Brown,
176 N Leclaire Ave,
Chicago, IL 60644-3413
Ph: (773) 688-5299 |
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