Kenneth E. Brooks is a Dentist in Chicago, Illinois. Kenneth E. Brooks practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kenneth E. Brooks is 1750584298. The last update date is 2007-07-08.
Kenneth E. Brooks's current location address is 5407 S Ingleside Ave, Chicago, Illinois. You can contact this provider via phone number 7739552393. The mailing address for Kenneth E. Brooks is 5407 S Ingleside Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth E. Brooks |
|---|---|
| Address | 5407 S Ingleside Ave, Chicago, Illinois |
| Phone Number | 7739552393 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1750584298 |
|---|---|
| Provider Enumeration Date | 2007-06-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5407 S Ingleside Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606155013 |
| Phone Number | 7739552393 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19017514 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Kenneth E. Brooks by the Centers for Medicare & Medicaid Services?
The Kenneth E. Brooks has been assigned the NPI (National Provider Identifier) 1750584298 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kenneth E. Brooks is located?
The Kenneth E. Brooks is situated at the following address: 5407 S Ingleside Ave, Chicago, IL, 606155013.
What is Kenneth E. Brooks's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth E. Brooks is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Kenneth E. Brooks receive its 1750584298 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth E. Brooks was assigned its 1750584298 by the Centers for Medicare & Medicaid Services on 2007-06-11.
As of what date were the details related to Kenneth E. Brooks most recently updated or revised?
The information pertaining to Kenneth E. Brooks, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC