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
Phone: (773) 932-1142
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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