Individual
BROOKE MARSICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 S WACKER DR STE 300, CHICAGO, IL 60606-4421
(617) 505-1520
(617) 928-8401
Mailing address
109 STATE ST STE 5, BOSTON, MA 02109-2906
(617) 505-1520
(617) 928-8401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-14878
NC
363A00000X
Physician Assistant
29246
NY
363A00000X
Physician Assistant
50.006861RX
OH
363A00000X
Physician Assistant
Primary
85.004183
IL
363A00000X
Physician Assistant
PA8859
MA
363AM0700X
Medical Physician Assistant
Primary
085004183
IL
363AM0700X
Medical Physician Assistant
50.006861RX
OH
Other
Enumeration date
11/30/2011
Last updated
05/06/2026
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