CRAIG WHITNEY JOCK (NPI# 1407857873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407857873 |
| Entity Type | Individual |
| Full Name | CRAIG WHITNEY JOCK |
| Credential | PSYD |
| Practice Address |
4200 N Oak Park Ave Psychology Department Chicago IL 60634-1417 |
| Practice Telephone | 7737943777 |
| Mailing Telephone | 7737943777 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2014-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071-006927 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD # | 1633897 | 01 |
| Street Address |
4200 N OAK PARK AVE PSYCHOLOGY DEPARTMENT |
| City | CHICAGO |
| State | IL |
| Zip Code | 60634-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679710297 | Debra S. Marsico | Psychologist | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2009-01-20 |
| 1598902116 | Charles Joseph Stiava | Psychologist | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2009-01-20 |
| 1164622361 | Yetunde Johnson | Psychiatry & Neurology | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-07-25 |
| 1013050178 | Idhs Chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1922141084 | Idhs Chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1780727842 | Idhs Chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1285777342 | Idhs-chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1093858151 | Idhs Chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1760525836 | Idhs Chicago Read Mhc | Psychiatric Unit | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-02-15 |
| 1912053182 | Douglas Hafner | Dentist | 4200 N Oak Park Ave, Chicago, IL 60634-1417 | 2007-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987333 | Alejandra Carrera | Student in an Organized Health Care Education/Training Program | 6417 W Irving Park Rd., Chicago, IL 60634 | 2019-11-25 |
| 1861977456 | Virtue Counseling Center | Counselor | 2904 N Parkside, Chicago, IL 60634 | 2018-09-28 |
| 1770931255 | Dynamic Transport Solutions LLC | Non-emergency Medical Transport (VAN) | 6109 W. Barry, Chicago, IL 60634 | 2016-05-25 |
| 1104284710 | Ez Dental | Dental Laboratory | 5621 W.montrose Avenue, Chicago, IL 60634 | 2016-02-10 |
| 1285075432 | Chicago Medical Transportation | Non-emergency Medical Transport (VAN) | 3033 N. Nordica Ave., Chicago, IL 60634 | 2013-07-16 |
| 1083985725 | Maria C. Rodriguez | Lactation Consultant, Non-RN | 6216 W. School St., Chicago, IL 60634 | 2012-01-25 |
| 1295066827 | Angie Harris | Occupational Therapist | 3339 N. Octavia, Chicago, IL 60634 | 2010-01-21 |
| 1205169802 | Belmont Dental P.C. | Dentist | 5611 W. Belmont Ave., Chicago, IL 60634 | 2009-09-14 |
| 1568605178 | Henry Biskup | Radiologic Technologist | 3105 N. Austin Ave., Chicago, IL 60634 | 2009-04-13 |
| 1306086624 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3615 N. Central Ave, Chicago, IL 60634 | 2009-02-26 |
| Find all providers in zip 60634 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1730792151 | Jenny Marie Wamsat | Psychologist | 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 | 2020-08-25 |
| 1497365910 | Sara Sirota | Psychologist | 5443 N Broadway St # 2s, Chicago, IL 60640-1703 | 2020-08-10 |
| 1053920512 | Alyse Renae Bedell | Psychologist | 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 | 2020-07-30 |
| 1699392688 | Hongying Chen | Psychologist | 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 | 2020-06-25 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.