Dr. James Michael Bock, M.D.
Family Medicine in Decatur, IL. Individual provider (NPI-1).
NPI number1285643825
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1285643825
- Entity type
- Individual (NPI-1)
- Name
- Dr. James Michael Bock
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2006
- Certification date
- Dec 29, 2021
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036-077533 | IL | Yes |
Practice location
4965 E Lost Bridge RdDecatur, IL 62521-5139
Phone 217-864-5531
Mailing address
113 E Seiberling StBlue Mound, IL 62513-0260
Phone 217-692-2151 · Fax 217-692-2121
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