Marylon Willette Brooks, LPN is a
Licensed Practical Nurse based in Freeport, Illinois. Marylon Willette Brooks is licensed to practice in Illinois (license number 043110870) and her current practice location is
2170 W Navajo Dr, Freeport, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 908-9407.
NPI number for Marylon Willette Brooks is 1932810355 and her current mailing address is 1723 W Laurel St, Freeport, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932810355.
Provider's Profile
Full Name | Marylon Willette Brooks |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 2170 W Navajo Dr, Freeport, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932810355
- Provider Enumeration Date: 12/06/2022
- Last Update Date: 12/06/2022
Medical Identifiers
Medical identifiers for Marylon Willette Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932810355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043110870 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marylon Willette Brooks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Marylon Willette Brooks, LPN 1723 W Laurel St, Freeport, IL 61032-3510 Ph: (815) 908-9407 | Marylon Willette Brooks, LPN 2170 W Navajo Dr, Freeport, IL 61032-0010 Ph: (815) 908-9407 |
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