Wilson, Brooke Marie

Wilson, Brooke Marie is an individual health care provider with primary practice located at 12130 S Harlem Ave Ste B , Palos Heights IL 60463-1459. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Wilson, Brooke Marie can be contacted via phone (708) 728-3300.

Contact Information

Primary practice address
12130 S Harlem Ave Ste B Palos Heights IL 60463-1459
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.034343 Illinois

Profile Details

NPI number 1477230522
LBN Legal business name Wilson, Brooke Marie
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2023
Last updated Jun 30th, 2023 - about 3 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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