Dr Laura Brock LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071008718 Issued in IL

Legal business name

DR LAURA BROCK LLC

Practice address

600 W Drummond PL
Apt 418
Chicago, IL 60614-7210

Phone

(847) 212-4222

NPI assigned

Jun 11, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Laura Brock

Title

Psychologist

Phone

(847) 212-4221

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465603200000",
    "number": "1326497173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W DRUMMOND PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W DRUMMOND PL",
            "address_2": "APT 418",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147210",
            "telephone_number": "847-212-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LAURA BROCK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-11",
        "last_updated": "2016-06-11",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-212-4221",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071008718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2016; 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.