Active NPI
Offices of Richard S. Rock M D
- Gynecology Physician
- Bannockburn, IL
National Provider Identifier
1366553448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 036059624
- Legal business name
- OFFICES OF RICHARD S. ROCK M D
- Practice address
- 2101 Waukegan Rd
Suite 301
Bannockburn, IL 60015-1836 - Phone
- (847) 295-0584
- Fax
- (847) 295-0637
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Stephen Rock, MD
- Title
- President
- Phone
- (847) 295-0584
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 036059624 | IL | Primary |
Addresses
Primary practice location
2101 Waukegan Rd
Suite 301
Bannockburn, IL 60015-1836
Mailing address
2101 Waukegan Rd
Suite 301
Bannockburn, IL 60015-1836
Phone (847) 295-0584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2101 Waukegan Rd
Ste 301
Bannockburn, IL 60015
Phone (847) 295-0584
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecology Physician
- Bannockburn, IL
- NPI 1609984830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754956800000",
"number": "1366553448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 WAUKEGAN RD",
"address_2": "SUITE 301",
"city": "BANNOCKBURN",
"state": "IL",
"postal_code": "600151836",
"telephone_number": "847-295-0584",
"fax_number": "847-295-0637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 WAUKEGAN RD",
"address_2": "SUITE 301",
"city": "BANNOCKBURN",
"state": "IL",
"postal_code": "600151836",
"telephone_number": "847-295-0584",
"fax_number": "847-295-0637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OFFICES OF RICHARD S. ROCK M D",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A",
"authorized_official_last_name": "ROCK",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "STEPHEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-295-0584",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "IL",
"license": "036059624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bannockburn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.