| Jody Brooks, LPN | |
|
920 W Custer Ave, Pontiac, IL 61764-1067 | |
| (815) 844-6109 | |
| (815) 844-3561 |
| Full Name | Jody Brooks |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 920 W Custer Ave, Pontiac, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376209718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 043.090616 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jody Brooks, LPN Po Box 768, Pontiac, IL 61764-0768 Ph: (815) 844-6109 | Jody Brooks, LPN 920 W Custer Ave, Pontiac, IL 61764-1067 Ph: (815) 844-6109 |
Josie Wiles, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 210 E Torrance Ave, Pontiac, IL 61764 Phone: 815-842-1122 Fax: 815-842-2728 | |
Kathryn Wells, L.P.N. Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 210 E Torrance Ave, Pontiac, IL 61764 Phone: 815-842-1122 | |
Amanda Schumm, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 |