Individual
BROOKE BASSETT PHENICIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FPA
Contact information
Practice address
1775 GLENVIEW RD STE 103, GLENVIEW, IL 60025-2943
(847) 637-8818
(847) 637-8817
Mailing address
1775 GLENVIEW RD STE 103, GLENVIEW, IL 60025-2943
(847) 637-8818
(847) 637-8817
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041390638
IL
363LF0000X
Family Nurse Practitioner
Primary
209008732
IL
363LF0000X
Family Nurse Practitioner
71003442A
IN
Other
Enumeration date
11/08/2010
Last updated
06/08/2025
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