Craig Whitney Jock is a Clinical in Chicago, Illinois. Craig Whitney Jock practices all healthcare services and medical treatments related to Clinical. The NPI Number for Craig Whitney Jock is 1407857873. The last update date is 2014-03-23.
Craig Whitney Jock's current location address is 4200 N Oak Park Ave, Chicago, Illinois. You can contact this provider via phone number 7737943777. The mailing address for Craig Whitney Jock is 4200 N Oak Park Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig Whitney Jock |
|---|---|
| Address | 4200 N Oak Park Ave, Chicago, Illinois |
| Phone Number | 7737943777 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1407857873 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2014-03-23 |
Provider Mailing Address Detail
| Address | 4200 N Oak Park Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606341417 |
| Phone Number | 7737943777 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-006927 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1633897 | IL | BLUE CROSS BLUE SHIELD # |
Post Comment/ Review Below
What is the unique identifier code issued to Craig Whitney Jock by the Centers for Medicare & Medicaid Services?
The Craig Whitney Jock has been assigned the NPI (National Provider Identifier) 1407857873. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Craig Whitney Jock's facilities are geographically located?
The facilities of Craig Whitney Jock are physically situated at the following location: 4200 N Oak Park Ave, Chicago, IL, 606341417.
What is Craig Whitney Jock's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Craig Whitney Jock is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1407857873 to Craig Whitney Jock?
The Centers for Medicare & Medicaid Services assigned the 1407857873 to Craig Whitney Jock on 2005-08-09.
When was the Craig Whitney Jock's information last updated?
The Craig Whitney Jock's information was last updated on 2014-03-23.