Brock, Max
Brock, Max is an individual health care provider with primary practice located at 1901 W Harrison St Ste 3620 , Chicago IL 60612-3714. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Brock, Max can be contacted via phone (312) 864-6000.Contact Information
Primary practice address
1901 W Harrison St Ste 3620
Chicago IL 60612-3714
Phone: (312) 864-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 274112 | Massachusetts |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036.149229 | Illinois |
Profile Details
| NPI number | 1760877153 |
|---|---|
| LBN Legal business name | Brock, Max |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2015 |
| Last updated | Jul 21st, 2022 - about 4 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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