Search › Illinois › 1223G0001X
Morgan Brockhouse, DMD
NPI 1154167203 · on the registry since 2024
Practice
- Address
- 1001 Illini Dr
East Peoria, IL 61611 - Phone
- (309) 948-5524
- Organisation at this address
- Maple Shade Dental (East Peoria) Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 809 W Camp St, East Peoria, IL
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois