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Individual

MAX BROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1901 W HARRISON ST STE 3620, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
1901 W HARRISON ST STE 3620, CHICAGO, IL 60612-3714

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
274112
MA
207RC0000X
Cardiovascular Disease Physician
Primary
036.149229
IL

Other

Enumeration date
04/01/2015
Last updated
07/21/2022
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