Individual
MR. COREY AUSTIN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1418 CROSS ST, DIV IM MEDICAL ONCOLOGY, STE 180, SHILOH, IL 62269-2914
(618) 607-1340
(618) 622-9724
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(618) 607-1340
(618) 622-9724
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004575
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220143984
—
MO
Enumeration date
01/07/2013
Last updated
04/21/2025
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