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Search › Illinois › 104100000X

Jason Brooks, MSW

NPI 1558293944 · on the registry since 2026

Practice

Address
919 W Kirby Ave
Champaign, IL 61821
Phone
(217) 714-7042
Organisation at this address
Alan Haussermann
Jl Dental Group Llc
Promise Healthcare Nfp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 411 E Park St, Champaign, IL

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-01

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