Dr. Keeshawna Brooks
Psychologist Health Service School Psychologist
325 N Wells St Ofc 523
Chicago
, Illinois 60654-7024
Dr. Keeshawna Brooks
Psychologist Health Service School Psychologist
325 N Wells St Ofc 523
Chicago
, Illinois 60654-7024
(773) 559-1717
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About
Features
Specialties
- Psychologist
- Health Service
- School Psychologist
Languages spoken
- English
Location
First Address
- Dr. Keeshawna Brooks
- 100 Forest Pl Apt P25
- Oak Park, IL
- Zip : 60301-1113
- Phone : (773) 559-1717
Second Address
- Dr. Keeshawna Brooks
- 325 N Wells St Ofc 523
- Chicago, IL
- Zip : 60654-7024
- Phone : (773) 559-1717
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Is Dr. Keeshawna Brooks a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 06199 | MD |
| Y | 103T00000X | Psychologist | 06199 | MD |
| N | 103TH0100X | Health Service | ||
| N | 103TS0200X | School Psychologist | 2399934 | IL |
National Provider Identifier
| NPI | 1619510914 |
|---|---|
| Provider Name | Dr. Keeshawna Brooks |
| First Address | Oak Park, IL 60301-1113 |
| Second Address | Chicago, IL 60654-7024 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/10/2019 |
| Last Update Date | 20/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.