SearchIllinois363LF0000X

Dustin Brooks

NPI 1568017333 · on the registry since 2019 · sole proprietor

Practice

Address
127 Stewart St
East Peoria, IL 61611
Phone
(309) 678-7422

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-07

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