Individual
ANDREW S KROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5999 NEW WILKE RD, SUITE 200 BLDG 2, ROLLING MEADOWS, IL 60008-4506
(847) 255-7107
(847) 255-7031
Mailing address
5999 NEW WILKE RD, SUITE 200 BLDG 2, ROLLING MEADOWS, IL 60008-4506
(847) 255-7107
(847) 255-7031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036079839
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036079839
—
IL
Enumeration date
05/31/2006
Last updated
04/30/2021
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