Individual
BROOKE MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9660 WICKER AVE, SAINT JOHN, IN 46373-9487
(219) 365-1166
(219) 365-8852
Mailing address
2137 W CATON ST, APT 1, CHICAGO, IL 60647-5402
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01069292A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201016340
—
IN
Enumeration date
01/18/2008
Last updated
03/27/2015
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