Organization
DAVID DEAN BROCKMAN, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DEAN BROCKMAN SR. M.D. (PRESIDENT)
(847) 729-0932
Entity
Organization
Contact information
Practice address
1030 KENILWORTH LN, GLENVIEW, IL 60025-1918
(847) 729-0921
(847) 729-2519
Mailing address
1030 KENILWORTH LN, GLENVIEW, IL 60025-1918
(847) 729-0932
(847) 729-2519
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
—
IL
Other
Enumeration date
09/29/2006
Last updated
08/22/2020
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