| Donna Brooks Lcsw Pllc | |
|
214 Crystal St Ste D Cary IL 60013-2094 | |
| (224) 623-1527 | |
| Not Available |
| Full Name | Donna Brooks Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 214 Crystal St Ste D, Cary, Illinois |
| Authorized Official Name and Position | Donna Brooks (OWNER) |
| Authorized Official Contact | 2246231527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Brooks Lcsw Pllc 207 N River Rd Fox River Grove IL 60021-1023 Ph: (224) 623-1527 | Donna Brooks Lcsw Pllc 214 Crystal St Ste D Cary IL 60013-2094 Ph: (224) 623-1527 |
| NPI Number | 1497330245 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 03/14/2021 |
| Certification Date | 03/14/2021 |
| Medicare PECOS PAC ID | 1355758012 |
|---|---|
| Medicare Enrollment ID | O20210324001263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497330245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Donna J Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710400114 PECOS PAC ID: 2860724838 Enrollment ID: I20191023002781 |
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