Brinkman, Mikala Rae

Brinkman, Mikala Rae is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Brinkman, Mikala Rae can be contacted via phone (309) 655-7768.

Contact Information

Primary practice address
530 Ne Glen Oak Ave Peoria IL 61637-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036-118496 Illinois

Profile Details

NPI number 1366651192
LBN Legal business name Brinkman, Mikala Rae
Credentials BA, MD
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jan 23rd, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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