Bockrath, John M
Bockrath, John M is an individual health care provider with primary practice located at 1259 Rickert Dr Ste 200, Naperville IL 60540-8904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bockrath, John M can be contacted via phone (630) 369-1572.Contact Information
Primary practice address
1259 Rickert Dr Ste 200
Naperville IL 60540-8904
Phone: (630) 369-1572
Fax: (630) 369-6139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 036054923 | Illinois |
Profile Details
| NPI number | 1992754493 |
|---|---|
| LBN Legal business name | Bockrath, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Feb 5th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992754493 | NPPES |
| Illinois | MEDICAID | 036054923 |
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