NPI 1376209718
Jody Brooks, LPN
Practice location
- Address
- 920 W Custer Ave, Pontiac, IL 61764-1067
- Phone
- (815) 844-6109
- Fax
- (815) 844-3561
- Mailing address
- PO Box 768, Pontiac, IL 61764-0768
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1376209718
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Nov 2021
- Record last updated
- 27 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.