NPI 1609366202 · live from the CMS NPI Registry
Judy Kakra Abu Brown, MD
Family Medicine in Edwardsville, IL. National Provider Identifier 1609366202, active.
NPI record
| NPI | 1609366202 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1188 S State Route 157, Edwardsville, IL 62025 |
| Practice phone | 618-692-5900 |
| Enumerated | May 18, 2018 |
| Last updated | January 29, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | MT214943 (PA) |
| Family Medicine | 207Q00000X | MD475168 (PA) |
| Family Medicine primary | 207Q00000X | 036177727 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.