Kenneth E. Brooks II D.D.S

NPI 1750584298 - Dentist - 122300000X

NPI Details
NPI 1750584298
Gender Male
Enumeration Date 06/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
676 N MICHIGAN AVE
SUITE 3500
CHICAGO IL, 60611-2883, US
Phone (312) 274-3333
Fax
Business Location
5407 S INGLESIDE AVE
CHICAGO IL, 60615-5013, US
Phone (773) 955-2393
Fax
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019017514
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According to our database, Kenneth E. Brooks II D.D.S NPI is 1750584298, taxonomy code is 122300000X and license number is 019017514, license state is located at Illinois. Kenneth E. Brooks II D.D.S physically located at 676 N Michigan Ave, Chicago IL, 60611-2883. NPI Number Kenneth E. Brooks II D.D.S has the Individual type.

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1750584298 NPI number is provided on an as is basis without warranty of any kind. 1750584298 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth E. Brooks II D.D.S are for informational purposes only.