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Individual

DR. BROCK DAVID ANDREATTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2160 S 1ST AVE STE 3102, MAYWOOD, IL 60153-3328
(708) 216-8777
Mailing address
2160 S 1ST AVE STE 3102, MAYWOOD, IL 60153-3328
(708) 216-8777

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.124279
IL
207L00000X
Anesthesiology Physician
35390
WV
207L00000X
Anesthesiology Physician
MD61616246
WA

Other

Enumeration date
05/08/2008
Last updated
10/23/2025
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