Individual
HOLLY LOUISE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-8750
(309) 624-8967
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-8750
(309) 624-8967
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004043
IL
Other
Enumeration date
12/31/2007
Last updated
12/12/2018
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