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
Phone: (847) 876-9300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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