Individual
MICHAEL H ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6145 N NORTHWEST HWY, CHICAGO, IL 60631-2127
(312) 809-6500
(312) 809-6501
Mailing address
1165 N CLARK ST, SUITE 700, CHICAGO, IL 60610-2702
(312) 809-6500
(312) 809-6501
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036078236
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
036078236
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001620300
BLUECROSS BLUESHILD OF IL
IL
05
—
036078236 1
—
IL
01
—
364054341
COMMERCIAL INS.GROUP#
IL
Enumeration date
08/18/2006
Last updated
12/06/2022
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