Individual
DR. KEESHAWNA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, NCSP, LP
Contact information
Practice address
325 N WELLS ST OFC 523, CHICAGO, IL 60654-7024
(773) 559-1717
Mailing address
100 FOREST PL APT P25, OAK PARK, IL 60301-1113
(773) 559-1717
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
06199
MD
103TH0100X
Health Service Psychologist
—
—
103TS0200X
School Psychologist
2399934
IL
Other
Enumeration date
10/20/2019
Last updated
10/20/2019
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