Provider Demographics
NPI:1750950101
Name:ROCKEN, CLAIRE TOBIAS (OD)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:TOBIAS
Last Name:ROCKEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 S HARLEM AVE
Mailing Address - Street 2:
Mailing Address - City:STICKNEY
Mailing Address - State:IL
Mailing Address - Zip Code:60402-4250
Mailing Address - Country:US
Mailing Address - Phone:708-788-3400
Mailing Address - Fax:
Practice Address - Street 1:4401 S HARLEM AVE
Practice Address - Street 2:
Practice Address - City:STICKNEY
Practice Address - State:IL
Practice Address - Zip Code:60402-4250
Practice Address - Country:US
Practice Address - Phone:708-788-3400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-21
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046011610152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist