Individual
BROOK ERNESTINE MEDICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1550 N NORTHWEST HWY, SUITE 211, PARK RIDGE, IL 60068-1411
(847) 876-9300
Mailing address
1550 N NORTHWEST HWY, SUITE 211, PARK RIDGE, IL 60068-1411
(847) 876-9300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005373
IL
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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