Theodore H Schock (NPI# 1508882457, PAC ID# 5395726442) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1508882457 |
| PAC ID by PECOS | 5395726442 |
| Professional Enrollment ID | I20040526000125 |
| Full Name | Theodore H Schock |
| Address |
657 S Mulford Rd Rockford IL 61108-2533 |
| Gender | M |
| Credential | DO |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140233 | OSF SAINT ANTHONY MEDICAL CENTER |
| 140228 | SWEDISH AMERICAN HOSPITAL |
| 140286 | KISHWAUKEE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 657 S Mulford Rd, Rockford, IL 61108-2533 |
| Street Address |
657 S MULFORD RD |
| City | ROCKFORD |
| State | IL |
| Zip | 61108-2533 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie L Epling | Clinical Social Worker | 6975 Redansa Dr, Rockford, IL 61108-1201 | |
| Paul A Galluzzo | Podiatry | 6999 Redansa Dr, Rockford, IL 61108-1201 | |
| James M Viggiano | Psychologist, Clinical | 6975 Redansa Dr, Rockford, IL 61108-1201 | |
| Jason R Soriano | Psychologist, Clinical | 6975 Redansa Dr, Rockford, IL 61108-1201 | |
| Brian D Klaung | Clinical Social Worker | 6975 Redansa Dr, Rockford, IL 61108-1201 | |
| Suzanne E Stephan | Clinical Social Worker | 1463 S Bell School Rd, Suite 8, Rockford, IL 61108-1406 | |
| Beth A Drennen | Clinical Social Worker | 1463 S Bell School Rd, Suite 8, Rockford, IL 61108-1406 | |
| Lisa M Nackers | Psychologist, Clinical | University of Wisconsin Medical Foundation Inc | 2404 Charles St, Rockford, IL 61108-1602 |
| Sarah M Gurney | Nurse Practitioner | Swedishamerican Hospital | 2404 Charles St, Rockford, IL 61108-1602 |
| Leynard M Martinez | Family Medicine | Swedishamerican Hospital | 2404 Charles St, Rockford, IL 61108-1602 |
| Find all physicians in zip 61108 | |||
| City | ROCKFORD |
| Zip Code | 61108 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | ROCKFORD + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Theodore H Schock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.