Individual
VINTIESHA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 W CHICAGO AVE STE 200, CHICAGO, IL 60654-5600
(832) 761-3176
Mailing address
12405 S WINCHESTER AVE, CALUMET PARK, IL 60827-5630
(773) 615-5941
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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