Individual
KATRICE MARIE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19310 S HALSTED ST, GLENWOOD, IL 60425-1562
(708) 300-3132
(773) 790-4034
Mailing address
19310 S HALSTED ST, GLENWOOD, IL 60425-1562
(708) 300-3132
(773) 790-4034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036158316
IL
207Q00000X
Family Medicine Physician
61357-20
WI
Other
Enumeration date
06/14/2010
Last updated
08/28/2023
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