Jefferson C Brock in Skokie - General Practice

Jefferson C Brock - NPI 1407974215

Jefferson C Brock is a General Practice in Skokie, Illinois. Jefferson C Brock practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jefferson C Brock is 1407974215. The last update date is 2007-07-08.

Jefferson C Brock's current location address is 9631 Gross Point Rd Ste 1, Skokie, Illinois. You can contact this provider via phone number 8476736616. The mailing address for Jefferson C Brock is 9631 Gross Point Rd Ste 1, Skokie, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jefferson C Brock
Address 9631 Gross Point Rd Ste 1, Skokie, Illinois
Phone Number 8476736616
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1407974215
Provider Enumeration Date 2007-03-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9631 Gross Point Rd Ste 1
City Skokie
State Illinois (IL)
Post Code 600761264
Phone Number 8476736616
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No A12889
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Jefferson C Brock

What is the unique identification code assigned to Jefferson C Brock by the Centers for Medicare & Medicaid Services?

The Jefferson C Brock has been issued the NPI (National Provider Identifier) 1407974215. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Jefferson C Brock?

The Jefferson C Brock is situated at 9631 Gross Point Rd Ste 1, in the city of Skokie, state of IL, with the zip code 600761264.

What is Jefferson C Brock's area of expertise and its corresponding taxonomy classification?

The Jefferson C Brock's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1407974215 assigned to Jefferson C Brock?

The Jefferson C Brock was issued its 1407974215 on 2007-03-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Jefferson C Brock most recently updated?

The details pertaining to the Jefferson C Brock, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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