Individual
BRADLEY BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-BC, FNP-C
Contact information
Practice address
311 N 4TH ST, CHILLICOTHE, IL 61523-2059
(309) 274-4336
(309) 274-3120
Mailing address
311 N 4TH ST, CHILLICOTHE, IL 61523-2059
(309) 274-4336
(309) 274-3120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
209.024642
IL
363LF0000X
Family Nurse Practitioner
Primary
209024642
IL
Other
Enumeration date
01/06/2022
Last updated
03/04/2022
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