Tyson Stock, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036140162 Issued in IL

Practice address

3000 N Halsted St Ste 401
Chicago, IL 60657-9268

Phone

(773) 935-5985

Fax

(773) 935-5478

NPI assigned

Jun 17, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1114366788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579268",
            "telephone_number": "773-935-5985",
            "fax_number": "773-935-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579268",
            "telephone_number": "773-935-5985",
            "fax_number": "773-935-5478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4140 Southwest Hwy",
            "address_purpose": "LOCATION",
            "city": "Hometown",
            "state": "IL",
            "postal_code": "604561135",
            "country_code": "US",
            "telephone_number": "708-422-5700",
            "fax_number": "708-422-8225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCK",
        "first_name": "TYSON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036140162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aneta Anna Stoch, OD
• Joseph Stock, M.D.
• Laura Kathryn Stock, MD
• Magaly Stock
• Marie Stock, MD
• Wendy Stock
• Stephen Joseph Stocker, LCSW
• Jack William Stockert, M.D.
• Jolie Anna Stocki, MD, MPH
• Alexandria Stockman

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.