| NPI | 1881913531 |
|---|---|
| Doing Business As | HOWARD BROWN HEALTH HALSTED |
| Entity Type | Organization |
| Authorized Contact | BURGUNDY JOHNSON Billing Manager 773-388-3491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 122300000X Dentist |
| 1223G0001X Dentist, General Practice | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 251S00000X (Licence: IL 30411) | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2024-09-25 |