Brooks, Michael

Brooks, Michael is an individual health care provider with primary practice located at 99 Park Ave , Clarendon Hills IL 60514-1494. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brooks, Michael can be contacted via phone (630) 455-7000.

Contact Information

Primary practice address
99 Park Ave Clarendon Hills IL 60514-1494
Phone: (630) 455-7000
Fax: (630) 455-7001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36107404 Illinois

Profile Details

NPI number 1801844311
LBN Legal business name Brooks, Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Mar 10th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801844311 NPPES
Illinois MEDICAID 036107404

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