Individual
MRS. BROOKE ELISE SISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2900 FRANK SCOTT PKWY W STE 980, BELLEVILLE, IL 62223-5000
(618) 234-9200
(618) 234-3940
Mailing address
2900 FRANK SCOTT PKWY W STE 980, BELLEVILLE, IL 62223-5000
(618) 234-9200
(618) 234-3940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008410
IL
Other
Enumeration date
04/28/2020
Last updated
12/14/2021
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