Provider Demographics
NPI:1104024736
Name:VOCK, MICHAEL JAMES (RPH)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JAMES
Last Name:VOCK
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 HICKORY LN
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-9146
Mailing Address - Country:US
Mailing Address - Phone:847-524-1660
Mailing Address - Fax:847-524-2667
Practice Address - Street 1:2503 W SCHAUMBURG RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-3887
Practice Address - Country:US
Practice Address - Phone:847-524-1660
Practice Address - Fax:847-524-7669
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist