person
Dr. Willie Lee Brown, DPM
Foot Surgery Podiatrist in Belleville, Illinois
NPI 1447392972

Willie Lee Brown is a Foot Surgery Podiatrist based in East Saint Louis, IL and is specialized in Foot Surgery. Willie Lee Brown practices in Belleville, IL and has the professional credentials of DPM. The NPI Number for Willie Lee Brown is 1447392972 and holds a License No. 2004030548 (Illinois).

The current practice location address for Willie Lee Brown is 3700 N Belt W, Belleville, IL and can be reached out via phone at 618-236-2207 and via fax at 618-236-2377.

Location: 3700 N Belt W, Belleville, IL, 62202-2682
person
Provider Profile Details
NPI Number
1447392972
Provider Name
Willie Lee Brown
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
3700 N Belt W, Belleville, IL, 62202-2682
Phone Number
618-236-2207
Fax Number
618-236-2377
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2004030548 01 MO MISSOURI LICENSE NO.
0060101305 01 IL BCBS OF ILLINOIS
016.004243 01 IL ILLINOIS LICENSE NO.
016004243 05 IL
303052401 05 MO
institution
Provider Business Practice Location Address Details
Address
3700 N Belt W
City
State
Zip
62226-5629
Phone Number
618-236-2207
Fax Number
618-236-2377
person
Provider Business Mailing Address Details
Address
3700 N Belt W
City
State
Zip
62226-5629
Phone Number
618-236-2207
Fax Number
618-236-2377
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
2004030548 (Missouri)
Definition
Definition to come...
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