Mr. Theodore Craig Brock is a Geneva, Illinois based nurse practitioner with 12 years of experience in Adult Health. He completed his graduation in 2012. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Theodore Craig Brock is 209010570 in Illinois. His current practice location is 304 Randall Rd, Geneva. Patients can reach him at 630-232-0610 or can fax him at 630-232-0675. Mr. Theodore Craig Brock is APN-BC with specialization in Adult Health and his NPI number (Unique professional ID assigned by NPPES) is 1386070480. Mr. Theodore Craig Brock can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. He can see patients and promote healthy living and wellness. He can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Mr. Theodore Craig Brock speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7012145717
Enrollment ID:
I20131231001421
NPI Number:
1386070480
NPI Enumeration Date:
20 Sep, 2013
NPI Last Update On:
02 May, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Theodore Craig Brock are as mentioned below.
License Number
Specialization
State
Status
209010570
Illinois
Primary
209010570
Adult Health
Illinois
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(140211)
Geneva, IL
Acute Care Hospital
(140242)
Winfield, IL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Theodore Craig Brock is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Central Dupage Physician Group (5890696231)
1039
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Theodore Craig Brock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
041303225
Other
Illinois
MEDICAID
CA4748
Other
Illinois
MEDICARE RAILROAD (GROUP)
P01349683
Other
Illinois
MEDICARE RAILROAD (INDIVIDUAL)
206147
Other
Illinois
MEDICARE PTAN (GROUP)
F400112507
Other
Illinois
MEDICARE PTAN (INDIVIDUAL)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Theodore Craig Brock 304 Randall Rd, Geneva, Illinois
Zip:
60134-4200
Phone Number:
630-232-0610
Fax Number:
630-232-0675
Patients can reach Mr. Theodore Craig Brock at 304 Randall Rd, Geneva, Illinois or can call to book an appointment on 630-232-0610.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.