Delora Brooks (NPI# 1659622330, PAC ID# 9537311808) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1659622330 |
| PAC ID by PECOS | 9537311808 |
| Professional Enrollment ID | I20141103001224 |
| Full Name | Delora Brooks |
| Organization Legal Name | GRANITE CITY CLINIC CORP |
| Address |
2044 Madison Ave Suite 25 Granite City IL 62040-4660 |
| Phone Number | 6187988405 |
| Gender | F |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6406747906 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140125 | GATEWAY REGIONAL MEDICAL CENTER |
| 140185 | MEMORIAL HOSPITAL |
| 140289 | ANDERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2044 Madison Ave, Suite 25, Granite City, IL 62040-4660 | 6187988405 | GRANITE CITY CLINIC CORP |
| 2044 Madison Ave, Suite 27, Granite City, IL 62040-4661 | 6184510700 | GRANITE CITY CLINIC CORP |
| 619 Edwardsville Rd, Troy, IL 62294-1441 | 6187988651 | GRANITE CITY CLINIC CORP |
| Organization Legal Name | GRANITE CITY CLINIC CORP |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria A Cullen | Clinical Social Worker | Granite City Clinic Corp | 2100 Madison Ave, Suite 201, Granite City, IL 62040-4713 |
| Ashley Michelle Tyler | Nurse Practitioner | Granite City Clinic Corp | 602 Farrish St, Madison, IL 62060-1567 |
| Hasan Al-janabi | Internal Medicine | Granite City Clinic Corp | 1261 University Dr E, Edwardsville, IL 62025-5587 |
| Emily Cottrell | Nurse Practitioner | Granite City Clinic Corp | 4273 S State Route 159, Second Floor, Glen Carbon, IL 62034 |
| Adam Joseph Rammacher | Podiatry | Granite City Clinic Corp | 1261 University Dr A, Edwardsville, IL 62025-5587 |
| Billie L Vincent | Nurse Practitioner | Granite City Clinic Corp | 220 E Us Hwy 40, Troy, IL 62294-2201 |
| Kelly R Murray | Certified Nurse Midwife (cnm) | Granite City Clinic Corp | 2246s State Route 157, Suite 100, Glen Carbon, IL 62034-1717 |
| Stephen Kent Burger | Neurology | Granite City Clinic Corp | 1261 University Dr, Edwardsville, IL 62025-5586 |
| Serge Marinkovic | Urology | Granite City Clinic Corp | 2100 Madison Ave, Suite 201, Granite City, IL 62040-4713 |
| Runda A El Khatib | Family Medicine | Granite City Clinic Corp | 2044 Madison Ave, Suite 27, Granite City, IL 62040-4661 |
| Street Address |
2044 MADISON AVE SUITE 25 |
| City | GRANITE CITY |
| State | IL |
| Zip | 62040-4660 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benedict F Painter | Infectious Disease | Granite City Physicians Corp | 2044 Madison Ave, Suite 23, Granite City, IL 62040-4660 |
| Runda A El Khatib | Family Medicine | Granite City Clinic Corp | 2044 Madison Ave, Suite 27, Granite City, IL 62040-4661 |
| Laurie Hopper | Nurse Practitioner | Granite City Physicians Corp | 2044 Madison Ave, Suite 15, Granite City, IL 62040-4641 |
| Lawrence T Harmon | Internal Medicine | Granite City Physicians Corp | 2044 Madison Ave, Suite 15, Granite City, IL 62040-4641 |
| Paul J Pace | General Surgery | Granite City Clinic Corp | 2044 Madison Ave, Suite 25, Granite City, IL 62040-4660 |
| Fred B Ginsberg | Interventional Pain Management | Granite City Clinic Corp | 2044 Madison Ave, G1, Granite City, IL 62040-4641 |
| Melissa L Kalaher | Family Medicine | Granite City Clinic Corp | 2044 Madison Ave, Suite 25, Granite City, IL 62040-4660 |
| Irmady B Hegde | Physical Medicine and Rehabilitation | 2044 Madison Ave, Suite 15, Granite City, IL 62040-4641 | |
| Rahul Bansal | Psychiatry | Granite City Clinic Corp | 2044 Madison Ave, Suite 27, Granite City, IL 62040-4661 |
| Michael C Adams | Internal Medicine | Granite City Physicians Corp | 2044 Madison Ave, Suite 15, Granite City, IL 62040-4641 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Darr | Clinical Social Worker | 1635 W 1st St, Suite 110, Granite City, IL 62040-1883 | |
| Rita A Tucker | Nurse Practitioner | Westco Haggerty Medical Partners, P.a. | 3500 Century Dr, Granite City, IL 62040-2166 |
| Valerie J Barber | Optometry | 4182 Nameoki Rd, Granite City, IL 62040-2330 | |
| Mark Alan Kleindorfer | Optometry | 1801 Pontoon Rd, Granite City, IL 62040-2338 | |
| Alice Halliday | Nurse Practitioner | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Danielle Homan | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Stephanie Boerding | Nurse Practitioner | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Ashley Marie Hynes | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Robert J Montgomery | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Andrew L Dorough | Chiropractic | Dr E L Strotheide Ltd | 3412 Nameoki Rd, Granite City, IL 62040-3702 |
| Find all physicians in zip 62040 | |||
| City | GRANITE CITY |
| Zip Code | 62040 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GRANITE CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Delora Brooks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.