Individual
KENNETH E. BROOKS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
676 N MICHIGAN AVE, SUITE 3500, CHICAGO, IL 60611-2883
(312) 274-3333
Mailing address
5407 S INGLESIDE AVE, CHICAGO, IL 60615-5013
(773) 955-2393
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019017514
IL
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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