Individual
DR. BARRY ALLEN MIZOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 S WOOD ST, ROOM 439, CHICAGO, IL 60612-4325
(312) 505-2055
(312) 413-8389
Mailing address
840 S WOOD ST, ROOM 439, CHICAGO, IL 60612-4325
(312) 505-2055
(312) 413-8389
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036053327
IL
Other
Enumeration date
07/14/2006
Last updated
01/15/2013
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