SearchIllinois207RC0000X

Max Brock

NPI 1760877153 · on the registry since 2015

Practice

Address
1901 W Harrison St Ste 3620
Chicago, IL 60612
Phone
(312) 864-6000
Organisation at this address
Cook County
Cook County
Cook County
Cook County
Cook County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
876

Registry record

Primary taxonomy
207RC0000X
207RC0000X
Also registered as
207R00000X
Licence states on file
MA, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

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