Individual
ANGELIQUE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
565 S MARTIN LUTHER KING JR AVE, 21, WAUKEGAN, IL 60085-6565
(224) 830-4199
Mailing address
565 S MARTIN LUTHER KING JR AVE, 21, WAUKEGAN, IL 60085-6565
(224) 830-4199
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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