Individual
MR. BENJAMIN A BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
637 E SNYDER ST, DECATUR, IL 62526
(217) 423-7337
(217) 423-7338
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
(217) 423-7338
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036104474
IL
2080A0000X
Pediatric Adolescent Medicine Physician
036104474
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104474
—
IL
Enumeration date
04/03/2008
Last updated
02/11/2026
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