Medici, Brook Ernestine

Medici, Brook Ernestine is an individual health care provider with primary practice located at 1550 N Northwest Hwy Suite 211, Park Ridge IL 60068-1411. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Medici, Brook Ernestine can be contacted via phone (847) 876-9300.

Contact Information

Primary practice address
1550 N Northwest Hwy Suite 211 Park Ridge IL 60068-1411
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085005373 Illinois

Profile Details

NPI number 1578953972
LBN Legal business name Medici, Brook Ernestine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2015
Last updated Jan 23rd, 2015 - about 9 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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