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Dustin Brooks
Family Nurse Practitioner in East Peoria, Illinois
NPI 1568017333

Dustin Brooks is a Family Nurse Practitioner based in East Peoria, IL and is specialized in Family. Dustin Brooks practices in East Peoria, IL. The NPI Number for Dustin Brooks is 1568017333 and holds a License No. 209019082 (Illinois).

The current practice location address for Dustin Brooks is 127 Stewart St, East Peoria, IL and can be reached out via phone at 309-678-7422.

Location: 127 Stewart St, East Peoria, IL, 61611-2613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568017333
Provider Name
Dustin Brooks
Credential
Provider Entity Type
Individual
Gender
Male
Address
127 Stewart St, East Peoria, IL, 61611-2613
Phone Number
309-678-7422
Fax Number
Provider Enumeration Date
08/07/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209019082 05 IL
institution
Provider Business Practice Location Address Details
Address
127 Stewart St
City
East Peoria
State
Illinois
Zip
61611-2613
Phone Number
309-678-7422
Fax Number
person
Provider Business Mailing Address Details
Address
127 Stewart St
City
East Peoria
State
Illinois
Zip
61611-2613
Phone Number
309-678-7422
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209019082 (Illinois)
Definition
Definition to come...
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