Brooks, Harley C
Brooks, Harley C is an individual health care provider with primary practice located at 900 Jorie Blvd Suite 186, Oak Brook IL 60523-2213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Brooks, Harley C can be contacted via phone (630) 954-6700.Contact Information
Primary practice address
900 Jorie Blvd Suite 186
Oak Brook IL 60523-2213
Phone: (630) 954-6700
Fax: (630) 954-1555
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | 036100625 | Illinois |
Profile Details
NPI number | 1326080177 |
---|---|
LBN Legal business name | Brooks, Harley C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 12th, 2006 |
Last updated | Feb 20th, 2012 - about 12 years 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326080177 | NPPES |
Illinois | MEDICAID | 036100625 | |
Illinois | Other | L76029 |
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