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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801844311 | NPPES |
| Illinois | MEDICAID | 036107404 |
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