Cheryl R Brown, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

16-004864

Legal business name

CHERYL R BROWN, PC

Practice address

1520 Carlemont Dr Ste M
Crystal Lake, IL 60014-1836

Phone

(815) 356-5060

Fax

(815) 356-7898

NPI assigned

Oct 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory B Cook

Title

MGR

Phone

(815) 356-5060

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl R Brown-Cook, DPM

  • Foot & Ankle Surgery Podiatrist
  • Crystal Lake, IL
  • NPI 1902873904
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1083702146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 CARLEMONT DR STE M",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141836",
            "telephone_number": "815-356-5060",
            "fax_number": "815-356-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 CARLEMONT DR STE M",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141836",
            "telephone_number": "815-356-5060",
            "fax_number": "815-356-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL R BROWN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "815-356-5060"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": "16-004864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1625610",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manju Chatterji, MD
• Nishath Chaudhury, PHARMD
• Sandra Chece
• Devin Chen, PA-C
• Cherne Care Clinic, SC
• Cheryliene a Niemo PLLC
• Rebecca E Cheski, ATC
• Children'S Physician Group
• Jamie So-Yung Chin, M.D.
• Donald Bruce Chinlund, D.D.S., LLC

• Podiatrist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.