Individual
CRAIG WHITNEY JOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
4200 N OAK PARK AVE, PSYCHOLOGY DEPARTMENT, CHICAGO, IL 60634-1417
(773) 794-3777
Mailing address
4200 N OAK PARK AVE, PSYCHOLOGY DEPARTMENT, CHICAGO, IL 60634-1417
(773) 794-3777
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-006927
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633897
BLUE CROSS BLUE SHIELD #
IL
Enumeration date
08/09/2005
Last updated
03/23/2014
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