Individual
MS. SUSAN LYNN BOCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNP
Contact information
Practice address
151 NORTHWEST HWY, CRYSTAL LAKE, IL 60014-7936
(800) 323-8622
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-2083
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
277-002229
IL
363L00000X
Nurse Practitioner
14655
WI
363L00000X
Nurse Practitioner
Primary
277-002229
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100266734
—
WI
Enumeration date
08/05/2011
Last updated
04/07/2025
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