Individual
BROOKE MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
12130 S HARLEM AVE STE B, PALOS HEIGHTS, IL 60463-1459
(708) 728-3300
Mailing address
8841 BUTTERFIELD LN, ORLAND PARK, IL 60462-1440
(773) 837-1110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034343
IL
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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