Organization
BROOKS KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN A BROOKS MD (PHYSICIAN OWNER)
(217) 423-7338
Entity
Organization
Contact information
Practice address
1900 E LAKESHORE DR, STE 340, DECATUR, IL 62521
(217) 423-7337
(217) 423-7338
Mailing address
1900 E LAKESHORE DR, STE 340, DECATUR, IL 62521
(217) 423-7337
(217) 423-7338
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
05/01/2006
Last updated
08/22/2020
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