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General NPI Number Information
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NPI Number | 1366553448
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Entity Type | Organization
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Legal Business Name | OFFICES OF RICHARD S. ROCK M D
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 2101 WAUKEGAN RD SUITE 301
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City | BANNOCKBURN
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State | IL
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Zip | 60015-1836
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Country | US
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Telephone | 847-295-0584
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Fax | 847-295-0637
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Provider Business Mailing Address
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Address Line | 2101 WAUKEGAN RD SUITE 301
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City | BANNOCKBURN
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State | IL
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Zip | 60015-1836
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Country | US
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Telephone | 847-295-0584
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Fax | 847-295-0637
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD STEPHEN ROCK
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Credential | MD
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Telephone | 847-295-0584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 036059624
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License Number State | IL
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