Individual
GREG A BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-4099
Mailing address
520 N KINGSBURY ST UNIT 3201, CHICAGO, IL 60654-8777
(574) 229-5636
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209009504
IL
367500000X
Certified Registered Nurse Anesthetist
28162626A
IN
367500000X
Certified Registered Nurse Anesthetist
AP114460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200508510
—
IN
Enumeration date
11/04/2005
Last updated
03/17/2018
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