Brook Clinic Associates, P.C. in Oak Brook - Health Service

Brook Clinic Associates, P.C. - NPI 1811065121

Brook Clinic Associates, P.C. is a Health Service in Oak Brook, Illinois. Brook Clinic Associates, P.C. practices all healthcare services and medical treatments related to Health Service. The NPI Number for Brook Clinic Associates, P.C. is 1811065121. The last update date is 2008-11-13.

Brook Clinic Associates, P.C.'s current location address is 210 W 22nd St, Oak Brook, Illinois. You can contact this provider via phone number 6305711077. The mailing address for Brook Clinic Associates, P.C. is 210 W 22nd St, Oak Brook, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Brook Clinic Associates, P.C.
Address 210 W 22nd St, Oak Brook, Illinois
Phone Number 6305711077
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Stein M. Gerald
Credentials PH.D.
Telephone Number 6305711077

NPI Number Detail

NPI Number 1811065121
Provider Enumeration Date 2006-12-04
Last Updated Date 2008-11-13

Provider Mailing Address Detail

Address 210 W 22nd St
City Oak Brook
State Illinois (IL)
Post Code 605231544
Phone Number 6305711077
Fax Number

Provider's Primary Taxonomy Detail

Speciality Health Service
Taxonomy 103Th0100X
Licence No 071-001939
Definition:
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
071-001939 IL PSYCHOLOGIST REGISTRATION
022-72048-74 IL BLUE CROSS/BLUE SHIELD

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FAQs about Brook Clinic Associates, P.C.

What is the unique 10-digit identifier code assigned to Brook Clinic Associates, P.C. by the Centers for Medicare & Medicaid Services?

The Brook Clinic Associates, P.C. has been issued the NPI (National Provider Identifier) 1811065121 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Brook Clinic Associates, P.C. is located?

The Brook Clinic Associates, P.C. is situated at the following address: 210 W 22Nd St, Oak Brook, IL, 605231544.

On what date did the Centers for Medicare & Medicaid Services assign the 1811065121 to Brook Clinic Associates, P.C.?

The Centers for Medicare & Medicaid Services assigned the 1811065121 to Brook Clinic Associates, P.C. on 2006-12-04.

When was the information related to Brook Clinic Associates, P.C. most recently updated or refreshed?

The details pertaining to the Brook Clinic Associates, P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-11-13.

As of what date was the information regarding Brook Clinic Associates, P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Brook Clinic Associates, P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-11-13.

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