Organization · NPI-2

Brook Clinic Associates, P.C.

Psychologist, Clinical · Oak Brook, IL

NPI number1811065121
StatusActive
Last updated in NPPESNov 13, 2008

Details

NPI
1811065121
Entity type
Organization (NPI-2)
Legal business name
Brook Clinic Associates, P.C.
Organization subpart
No
Enumeration date
Dec 4, 2006
Last updated
Nov 13, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical071-001939ILYes
103G00000X Clinical Neuropsychologist071-001939IL
103TH0100X Psychologist, Health Service071-001939IL

Practice location

210 W 22nd St
Suite 118
Oak Brook, IL 60523-1544

Phone 630-571-1077

Mailing address

210 W 22nd St
Suite 118
Oak Brook, IL 60523-1544

Phone 630-571-1077

Authorized official

Gerald M. Stein
President
6305711077

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