| Doctor Name: | DR. DUSTIN ROBERT BROWN |
| NPI Number: | 1124306501 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT, ATC, LAT |
| License Number: | 9428PT |
| Business Practice Address: | 123 W Spring Creek Rd East Peoria, IL - 616111346 |
| Business Phone Number: | 3092824800 |
| Business Fax Number: | 3092824801 |
| Mailing Address: | 625 Enterprise Dr, OAK BROOK |
| State: | IL |
| Postal Code: | 605238813 |
| Phone Number: | 6305756200 |
| Fax Number: | |
| NPI Enumeration Date: | 08/02/2011 |
| NPI Last Update Date: | 03/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 9428PT |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |