THEODORE H SCHOCK

ROCKFORD, IL
NPI1508882457
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036-096167)
Enumeration Date2006-07-14
Last Update Date2011-04-04
Business Address
Mr. THEODORE H SCHOCK D.O.
657 S MULFORD RD
ROCKFORD, IL 61108-2533
Phone number: 815-229-9900
Mailing Address
Mr. THEODORE H SCHOCK D.O.
657 S MULFORD RD
ROCKFORD, IL 61108-2533
Phone number: 815-229-9900
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