Individual
KRISTEN SUZANNE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
333 MADISON ST, JOLIET, IL 60435-8200
(708) 326-1630
Mailing address
9640 S KNOX AVE, OAK LAWN, IL 60453-3120
(708) 717-3516
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209012074
IL
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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