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Brook Marie Anderson

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1969 W Ogden Ave, Chicago, IL 60612-3765

PECOS Enrollment

This provider is enrolled in PECOS as BROOK ANDERSON.

Based on the most recent information from CMS, provider Brook Marie Anderson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1073151882
Provider Type
Individual
Full Name
Anderson, Brook Marie
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
12/12/2019
Last Updated
6/5/2024

Contact Information

Practice Location

1969 W Ogden Ave, Chicago, IL 60612-3765

(312) 864-6000

Unlisted Fax

Mailing Location

1969 W Ogden Ave, Chicago, IL 60612-3765

(312) 864-6000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 085007668 Illinois
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer Texas

Brook Marie Anderson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Huber, Andrea Kay

Azar, Zainah

Payne, Arlett

Karuthalackal, Adai V

Sikora-Jackson, Ann Marie

Strahler, Stephanie Joan

Khan, Nazish

Taylor, Brianna

Blumstein, Alyssa

Sims, Kevin E.