Individual
DR. MICHAEL BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
99 PARK AVE, CLARENDON HILLS, IL 60514-1494
(630) 455-7000
(630) 455-7001
Mailing address
99 PARK AVE, STE 102, CLARENDON HILLS, IL 60514-1492
(630) 455-7000
(630) 455-7001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36107404
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107404
—
IL
Enumeration date
05/05/2006
Last updated
03/10/2021
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