Organization
CLEARBROOK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA L. DEVITO M.S.,L.C.P.C. (DIRECTOR OF CLINICAL SERVICES)
(847) 870-7711
Entity
Organization
Contact information
Practice address
1835 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2410
(847) 870-7711
(847) 392-8939
Mailing address
1835 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2410
(847) 870-7711
(847) 392-8939
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1630182
BLUE CROSS BLUE SHIELD PR
IL
Enumeration date
08/24/2005
Last updated
09/11/2025
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