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
Phone: (708) 728-3300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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