Individual provider · NPI-1
Dr. Harley C Brooks III, M.D.
Internal Medicine, Adolescent Medicine · Oak Brook, IL
NPI number1326080177
StatusActive
Last updated in NPPESFeb 20, 2012
Details
- NPI
- 1326080177
- Entity type
- Individual (NPI-1)
- Name
- Dr. Harley C Brooks III
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2006
- Last updated
- Feb 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RA0000X | Internal Medicine, Adolescent Medicine | 036100625 | IL | Yes |
Other names
- Harley Brooks (Professional Name)
Practice location
900 Jorie BlvdSuite 186
Oak Brook, IL 60523-2213
Phone 630-954-6700 · Fax 630-954-1555
Mailing address
900 Jorie BlvdSuite 186
Oak Brook, IL 60523-2213
Phone 630-954-6700 · Fax 630-954-1555
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