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Search › Illinois › 122300000X

Jake Brush, DDS

NPI 1205572245 · on the registry since 2022 · sole proprietor

Practice

Address
310 W Losey St
Scott Afb, IL 62225
Phone
(618) 256-2833
Organisation at this address
Dfas-Jfll/In
375th Medgrp-Scott
375th Medgrp-Scott
375th Medgrp-Scott
United States Air Force
Inferred from a shared address, not stated in the registry.
Clinicians at this address
114

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois