Jefferson Brock

NPI 1407974215 · on the registry since 2007 · sole proprietor

Practice

Address: 9631 Gross Point Rd Ste 1
Skokie, IL 60076
Phone: (847) 673-6616
Organisation at this address: Kids' Health Partners, Llc
North Shore Wound Center, Ltd
Old Orchard Dental Group P.C.
Integrative Wellness Clinic Ltd.
Edward H Kaplan Md & Associates Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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