Brooks, Cicely Simone

Brooks, Cicely Simone is an individual health care provider with primary practice located at 4177 S Archer Ave , Chicago IL 60632-1849. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brooks, Cicely Simone can be contacted via phone (773) 932-1142.

Contact Information

Primary practice address
4177 S Archer Ave Chicago IL 60632-1849
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.004015 Illinois

Profile Details

NPI number 1245507839
LBN Legal business name Brooks, Cicely Simone
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2011
Last updated Apr 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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