Justin Mark Brooks M.D.

NPI 1659682524 - Internal Medicine - 207R00000X

NPI Details
NPI 1659682524
Gender Male
Enumeration Date 06/25/2010
Last Updated 06/25/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
701 N 1ST ST
SPRINGFIELD IL, 62702-3757, US
Phone (217) 545-0193
Fax (217) 545-0193
Business Location
PO BOX 19636
SPRINGFIELD IL, 62794-9636, US
Phone (217) 545-0193
Fax (217) 545-4735
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 125.057595
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According to our database, Dr. Justin Mark Brooks M.D. NPI is 1659682524, taxonomy code is 207R00000X and license number is 125.057595, license state is located at Illinois. Justin Mark Brooks M.D. physically located at 701 N 1st St, Springfield IL, 62702-3757. NPI Number Justin Mark Brooks M.D. has the Individual type.

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1659682524 NPI number is provided on an as is basis without warranty of any kind. 1659682524 is maintained by the National Plan & Provider Enumeration System. The contents of Justin Mark Brooks M.D. are for informational purposes only.