JOHN M BOCKRATH (NPI# 1992754493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992754493 |
| Entity Type | Individual |
| Full Name | JOHN M BOCKRATH |
| Credential | MD |
| Practice Address |
1259 Rickert Dr Ste 200 Naperville IL 60540-8904 |
| Practice Telephone | 6303691572 |
| Practice Fax Number | 6303696139 |
| Mailing Telephone | 6303691572 |
| Mailing Fax Number | 6303696139 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2010-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 036054923 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036054923 | 05 |
| Street Address |
1259 RICKERT DR STE 200 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540-8904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104813849 | Kevin R. Wright | Physician Assistant | 1259 Rickert Dr, Suite 101, Naperville, IL 60540-8902 | 2005-09-27 |
| 1619421047 | Kristin Moctezuma | Physical Therapist | 1259 Rickert Dr, Suite 201, Naperville, IL 60540-8902 | 2016-08-15 |
| 1437525383 | Rebecca Davies | Physical Therapist | 1259 Rickert Dr, Suite 201, Naperville, IL 60540-8902 | 2015-08-14 |
| 1114350261 | Du Page Medical Group Ltd | Prosthetic/Orthotic Supplier | 1259 Rickert Dr, Ste 101, Naperville, IL 60540-8902 | 2013-08-13 |
| 1770929788 | Michelle L Zdan | Physical Therapy Assistant | 1259 Rickert Dr, Suite 201, Naperville, IL 60540-8902 | 2013-05-16 |
| 1043436819 | Dalip Pelinkovic | Orthopaedic Surgery | 1259 Rickert Dr, Suite 101, Naperville, IL 60540-8902 | 2007-04-18 |
| 1235259854 | Andrea Hueschen | Physical Therapist | 1259 Rickert Dr, Naperville, IL 60540-8902 | 2007-03-29 |
| 1164563904 | Rose Pham | Physical Therapist | 1259 Rickert Dr, Suite 201, Naperville, IL 60540-8902 | 2007-02-12 |
| 1780742007 | Leslie E Russ Jr. | Dentist | 1259 Rickert Dr, Suite 205, Naperville, IL 60540-8902 | 2006-12-06 |
| 1255341681 | Misty Wessing | Physician Assistant | 1259 Rickert Dr, Suite #200, Naperville, IL 60540-8902 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558682351 | Michael Patrick Hoeh | Urology | 100 Spalding Dr, Ste 206, Naperville, IL 60540 | 2010-06-15 |
| 1427297100 | Associated Urological Specialists | Urology | 1020 E Ogden Ave, Suite 302, Naperville, IL 60563-8609 | 2009-02-19 |
| 1164687539 | Ranko Miocinovic | Urology | 1020 E Ogden Ave Ste 301, Naperville, IL 60563-8611 | 2008-07-24 |
| 1760430037 | Robert M Pasciak | Urology | 100 Spalding Dr, Ste 206, Naperville, IL 60540 | 2006-05-05 |
| 1194773465 | Paul B Lyon | Urology | 1259 Rickert Dr, Ste 200, Naperville, IL 60540-8904 | 2006-05-05 |
| 1366490633 | Bejan J Fakouri | Urology | 1259 Rickert Dr, Ste 200, Naperville, IL 60540-8904 | 2006-05-05 |
| 1043268329 | Robert M Seo | Urology | 1259 Rickert Dr, Ste 200, Naperville, IL 60540-8904 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
| 1912436015 | Robert Ara Petrossian | Urology | 301 N 8th St # 4b143c, Springfield, IL 62701-1041 | 2017-06-12 |
| 1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
| 1619337912 | George Robert Buckun | Urology | 930 Rogers St., #301, Downers Grove, IL 60515 | 2016-02-29 |
| 1275991606 | Nicole Alyssa Hamilton | Urology | 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540 | 2016-01-30 |
| 1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
| 1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
| 1639568447 | Jeremy Lai | Urology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-01-16 |
| 1386053759 | Ramiro Felix Prudencio | Urology | 1200 Broadmeadow Rd, Winnetka, IL 60093-3707 | 2014-08-10 |
| 1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
| Find all providers with the same taxonomy | ||||
| City | NAPERVILLE |
| Zip Code | 60540 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.