Individual provider Active NPI

Nancy Bunn Brown, M.D.

  • Pediatrics Physician
  • Gurnee, IL
National Provider Identifier
1104052513
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036.129956 Issued in IL
Practice address
36100 N Brookside Dr Ste 106
Gurnee, IL 60031-4572
Phone
(847) 821-9500
NPI assigned
Jun 1, 2009
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036.129956 IL Primary

Addresses

Primary practice location

36100 N Brookside Dr Ste 106
Gurnee, IL 60031-4572

Mailing address

36100 N Brookside Dr Ste 106
Gurnee, IL 60031-4572
Phone (847) 821-9500

Other names 1

  • Dr. Nancy Brown Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170531001579 IL Practitioner - Emergency Medicine 3971870668 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.129956ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ann & Robert H. Lurie Children's Hospital of Chicago Current Accepting new patients
Lurie Children's Medical Group Inc Pediatrics CurrentSince Apr 22, 2017 Accepting new patients
The Behavioral Health Cooperative, LLC Past Accepting new patients
Pediatrust, L.L.C. Pediatrics PastSince Mar 24, 2024 Accepting new patients

Locations

Claims Remittance
Carol Stream, IL 60122

225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415

737 N Michigan Ave
Ste 2040
Chicago, IL 60611

1475 E Belvidere Rd
Ste 215
Grayslake, IL 60030
Phone (847) 548-8777

Interoperability endpoints

  • Direct secure messaging: nadams373129@direct.myadvocateaurora.org
  • Direct secure messaging: nfletcher138200@direct.luriechildrens.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1104052513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36100 N BROOKSIDE DR STE 106",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314572",
            "telephone_number": "847-821-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36100 N BROOKSIDE DR STE 106",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314572",
            "telephone_number": "847-821-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NANCY",
        "middle_name": "BUNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.129956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "BROWN",
            "middle_name": "BROWN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.