| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KEVIN J SCHROCK | 1255482543 | 2024-07-07 |
Kevin J Schrock is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1255482543. Registration indicates Kevin J Schrock is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist (Occupational Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Kevin J Schrock O. T. |
| Practice Office Address | 111 W WASHINGTON ST STE 230 EAST PEORIA, IL US |
| Practice Office Telephone | 3093475579 |
| Practice Office Fax | 3093474264 |
| Mailing Address | 111 W WASHINGTON ST STE 230 EAST PEORIA, IL 616112560 US |
| Business Telephone | 3093475579 |
| Business Fax | 3093474264 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2338 W Sud Pkwy Ste 3100 | Peoria, IL 616157483 | 3096939189 / 3096939946 |
| Code | Practice | License No State |
|---|---|---|
| 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Occupational Therapist Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 056005963
IL |
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor |
| P01030410 | OTHER | IL | RR MEDICARE |