Provider Demographics
NPI:1447298096
Name:GILES-BROWN, LAURA SUE (CRT, RCP)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:SUE
Last Name:GILES-BROWN
Suffix:
Gender:F
Credentials:CRT, RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 N ELMHURST RD
Mailing Address - Street 2:
Mailing Address - City:PROSPECT HTS
Mailing Address - State:IL
Mailing Address - Zip Code:60070-1510
Mailing Address - Country:US
Mailing Address - Phone:847-394-0241
Mailing Address - Fax:
Practice Address - Street 1:40 SKOKIE BLVD
Practice Address - Street 2:SUITE 440
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-1601
Practice Address - Country:US
Practice Address - Phone:847-656-0353
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2278P1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAYM010634OtherSTATE LISCENSE
MDL0003874OtherSTATE LISCENSE
WI3002OtherSTATE LICENSE