Organization
DR LAURA BROCK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA BROCK (PSYCHOLOGIST)
(847) 212-4221
Entity
Organization
Contact information
Practice address
600 W DRUMMOND PL, APT 418, CHICAGO, IL 60614-7210
(847) 212-4222
Mailing address
600 W DRUMMOND PL, CHICAGO, IL 60614-7210
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071008718
IL
Other
Enumeration date
06/11/2016
Last updated
06/11/2016
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