Individual
JOHN M BOCKRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1259 RICKERT DR, STE 200, NAPERVILLE, IL 60540-8904
(630) 369-1572
(630) 369-6139
Mailing address
1259 RICKERT DR, STE 200, NAPERVILLE, IL 60540-8904
(630) 369-1572
(630) 369-6139
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036054923
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054923
—
IL
Enumeration date
05/10/2006
Last updated
02/05/2010
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