Mr. Theodore Craig Brock, APN-BC
Mr. Theodore Craig Brock, APN-BC is a Nurse Practitioner in Geneva, Illinois. Qualified in 2012, 14 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 14
- Licensed in
- IL
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
304 Randall RdGeneva, IL 60134
Phone: (630) 232-0610
Fax: (630) 232-0675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 209010570 (IL) |
|---|---|
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence 209010570 (IL) |
Record details
| NPI number | 1386070480 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | APN-BC |
| Sole proprietor | No |
| NPI enumerated | September 20, 2013 |
| Last updated in NPPES | May 2, 2024 |
| Certification date | May 2, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Northwestern Medical Faculty Foundation — 4394 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Geneva
-
Theresa Ann Andrews, APN
351 Delnor Dr Ste 302, Geneva, IL 60134-4233 · (630) 232-0280
-
Yoomi Kenyon Brendel, APN, NP-C
351 Delnor Dr, Geneva, IL 60134-4222 · (630) 232-0280
-
Mrs. Karen Joyce Fahey, MSN, APN, ANP-BC, CORLN
2525 Kaneville Rd, Geneva, IL 60134-2578 · (630) 584-1400
-
Laura Hinerman
304 Randall Rd, Geneva, IL 60134-4200 · (630) 232-0610
-
Shari Anne Schrader, APRNBC
300 Randall Rd Wound Ctr, Geneva, IL 60134-4200 · (630) 208-4460