Search › Illinois › 103TC1900X
Anthony Brooks
NPI 1306581103 · on the registry since 2022 · sole proprietor
Practice
- Address
- 8 Edgewood Ln N
Centralia, IL 62801 - Phone
- (618) 204-8227
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-05
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