Bock, Derek James

Bock, Derek James is an individual health care provider with primary practice located at 840 S Waukegan Rd Suite 107, Lake Forest IL 60045-2608. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Bock, Derek James can be contacted via phone (847) 615-5437.

Contact Information

Primary practice address
840 S Waukegan Rd Suite 107 Lake Forest IL 60045-2608
Phone: (847) 615-5437
Fax: (847) 615-2955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 021002219 Illinois

Profile Details

NPI number 1356501365
LBN Legal business name Bock, Derek James
Credentials D.M.D., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2008
Last updated Jan 29th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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