DR. MADALEN BROOKS (NPI# 1750992442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750992442 |
| Entity Type | Individual |
| Full Name | DR. MADALEN BROOKS |
| Credential | DACM, L.AC |
| Practice Address |
1601 Sherman Ave Ste 200 Evanston IL 60201-5044 |
| Mailing Address |
4107 Chesapeake Dr Apt 1d Aurora IL 60504-5106 |
| Practice Telephone | 2174168087 |
| Mailing Telephone | 2174168087 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | Other Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1601 SHERMAN AVE STE 200 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-5044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154934495 | Jane Burstein | Student in an Organized Health Care Education/Training Program | 962 Dobson St Apt 2, Evanston, IL 60202-3847 | 2020-08-26 |
| 1902424054 | Sydney Sterling Tardrew | Student in an Organized Health Care Education/Training Program | 1106 Crain St Apt 3, Evanston, IL 60202-4225 | 2020-07-06 |
| 1346864956 | Rachel C Hofmaier | Student in an Organized Health Care Education/Training Program | 2506 Payne St, Evanston, IL 60201-2131 | 2020-05-31 |
| 1275190316 | Grace Zhang | Student in an Organized Health Care Education/Training Program | 1800 Ridge Ave, Evanston, IL 60201-3696 | 2019-05-23 |
| 1699260323 | Aldo Morante | Student in an Organized Health Care Education/Training Program | 855 Hinman Ave Apt 304, Evanston, IL 60202-2346 | 2018-06-25 |
| 1831683291 | Mariam Charkviani | Student in an Organized Health Care Education/Training Program | 832 Seward St Apt I2, Evanston, IL 60202-5323 | 2018-06-19 |
| 1639668833 | Zachary Tyler Laidley | Student in an Organized Health Care Education/Training Program | 800 Washington St Apt 2, Evanston, IL 60202-4350 | 2018-05-03 |
| 1063824027 | Ghazaleh Rostami Nia | Student in an Organized Health Care Education/Training Program | 2650 Ridge Avenue Walgreen Building, Suite 1507, Evanston, IL 60201 | 2014-05-27 |
| 1457413940 | Curt M. Horvath | Student in an Organized Health Care Education/Training Program | 2200 Campus Dr, Suite 4401, Enh Life Sciences, Evanston, IL 60208-0892 | 2006-12-14 |
| 1710588496 | Paritosh Prasai | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-11-08 |
| Find all providers in EVANSTON | ||||
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| 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.