Brooks, David Michael

Brooks, David Michael is an sole proprietor health care provider with primary practice located at 3800 N Lake Shore Dr # 5E , Chicago IL 60613-3301. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brooks, David Michael can be contacted via phone (310) 498-0555.

Contact Information

Primary practice address
3800 N Lake Shore Dr # 5E Chicago IL 60613-3301
Phone: (310) 498-0555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 20877 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.009978 Illinois

Profile Details

NPI number 1174503403
LBN Legal business name Brooks, David Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2006
Last updated Aug 10th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174503403 NPPES
California Other 1174503403 CIGNA HEALTHCARE/CBH
California Other 1174503403 CIGNA HEALTHCARE/CBH
California Other 1143651 CIGNA HEALTHCARE/CBH
California Other OPL208770 CIGNA HEALTHCARE/CBH
California Other W20435 CIGNA HEALTHCARE/CBH

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