Thomas W Bockle M.D.

NPI 1003825662 - Pediatrics - 208000000X

NPI Details
NPI 1003825662
Gender Male
Enumeration Date 08/05/2006
Last Updated 11/16/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
3860 W OGDEN AVE
CHICAGO IL, 60623-2460, US
Phone (872) 588-3000
Fax (872) 588-3021
Business Location
3860 W OGDEN AVE
CHICAGO IL, 60623-2460, US
Phone (872) 588-3000
Fax (872) 588-3021
Toxanomy
Taxonomy Code 208000000X
License State Illinois
License Number 36115374
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According to our database, Dr. Thomas W Bockle M.D. NPI is 1003825662, taxonomy code is 208000000X and license number is 36115374, license state is located at Illinois. Thomas W Bockle M.D. physically located at 3860 W Ogden Ave, Chicago IL, 60623-2460. NPI Number Thomas W Bockle M.D. has the Individual type.

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1003825662 NPI number is provided on an as is basis without warranty of any kind. 1003825662 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas W Bockle M.D. are for informational purposes only.