Brooks, Harley C

Brooks, Harley C is an individual health care provider with primary practice located at 900 Jorie Blvd Suite 186, Oak Brook IL 60523-2213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Brooks, Harley C can be contacted via phone (630) 954-6700.

Contact Information

Primary practice address
900 Jorie Blvd Suite 186 Oak Brook IL 60523-2213
Phone: (630) 954-6700
Fax: (630) 954-1555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 036100625 Illinois

Profile Details

NPI number 1326080177
LBN Legal business name Brooks, Harley C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Feb 20th, 2012 - about 14 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 1326080177 NPPES
Illinois MEDICAID 036100625
Illinois Other L76029

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