MRS. BROOK D CROKE (NPI# 1427327733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427327733 |
| Entity Type | Individual |
| Full Name | MRS. BROOK D CROKE |
| Credential | M.S., C.G.C. |
| Practice Address |
400 N. 9th Street 3rd Floor Clinic B Springfield IL 62702 |
| Mailing Address |
801 Broadway Ave Nw Grand Rapids MI 49504-4462 |
| Practice Telephone | 2175458000 |
| Practice Fax Number | 2175459759 |
| Mailing Telephone | 8557769436 |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | 246-000143 | IL | Other Service Providers |
| N | 170300000X | Genetic Counselor, MS | 246.000143 | IL | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 801 Broadway Ave Nw, Grand Rapids, MI 495044462 | 8557769436 |
| Street Address |
400 N. 9TH STREET 3RD FLOOR CLINIC B |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| 1588993430 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 620 N. Walnut St., Springfield, IL 62702 | 2009-12-23 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629191218 | Jose M Camacho | Genetic Counselor, MS | 18 Notre Dame St, Springfield, MA 01104-2113 | 2007-04-09 |
| 1275558223 | Kathryn Louise Murray | Genetic Counselor, MS | 3355 Riverbend Dr Ste 210, Springfield, OR 97477-8800 | 2006-07-12 |
| 1073597456 | Kristin Lynn Dalton | Genetic Counselor, MS | 794 Chestnut St, Springfield, MA 01199-0001 | 2005-11-30 |
| 1780219717 | Alexandra Elizabeth Richards | Genetic Counselor, MS | 759 Chestnut St, Springfield, MA 01199-0001 | 2020-03-10 |
| 1023643418 | Kacie Y. Weinstein | Genetic Counselor, MS | 3355 Riverbend Dr Ste 210, Springfield, OR 97477-8800 | 2020-03-06 |
| 1437631132 | Mary Lynn O'connor | Genetic Counselor, MS | 301 N 8th St Ste 4a, Springfield, IL 62701-1013 | 2018-08-30 |
| 1588118350 | Courtney Manning | Genetic Counselor, MS | 50 Wason Ave, Springfield, MA 01107-1274 | 2016-08-10 |
| 1407284367 | Daniel Groepper | Genetic Counselor, MS | 301 N 8th St, Suite Pav 4a, Springfield, IL 62701-1041 | 2013-10-30 |
| 1356672828 | Heather L D Glessner | Genetic Counselor, MS | 415 N 9th St, Suite 6w30, Springfield, IL 62702-5303 | 2010-01-23 |
| 1477717288 | Mary R Owen | Genetic Counselor, MS | 3850 S National Ave, Hulston Cancer Center, Suite 120, Springfield, MO 65807-5287 | 2008-07-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
Please comment or provide details below to improve the information on MRS. BROOK D CROKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.