TYSON STOCK D.O.
NPI 1114366788
Family Medicine in Chicago, IL

Active since June 17, 2013
3000 N HALSTED ST STE 401, CHICAGO, IL 60657(773) 935-5985(773) 935-5478 Get Directions Write a Review

NPPES record last updated: May 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2018, Mar 17, 2018, Jul 5, 2017 and 1 more (4 updates tracked since 2016).

About Tyson Stock D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYSON STOCK D.O. (NPI 1114366788) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036140162) and active in the NPI registry since June 2013. He maintains a secondary practice location in Hometown.

NPPES Registry Identity

NPI1114366788
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTYSON STOCKCredential: D.O.
Location Address3000 N HALSTED ST STE 401Chicago, IL 60657-9268
Mailing Address3000 N Halsted St Ste 401Chicago, IL 60657-9268 · (773) 935-5985 · Fax (773) 935-5478
Fax(773) 935-5478
Sole ProprietorNo
Enumeration DateJune 17, 2013
Last NPPES UpdateMay 10, 20184 updates tracked since enumeration
NPI 1114366788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036140162
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3000 N HALSTED ST STE 401, Chicago, IL 60657

Secondary Practice Location 1

Location 14140 Southwest HwyHometown, IL 60456-1135 · Phone (708) 422-5700 · Fax (708) 422-8225

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
3000 N HALSTED ST STE 401
CHICAGO, IL 60657
Specialist
3000 N HALSTED ST STE 401
CHICAGO, IL 60657
Nurse Practitioner
3000 N HALSTED ST STE 401
CHICAGO, IL 60657
Family Medicine
3000 N HALSTED ST STE 401
CHICAGO, IL 60657

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyson Stock's NPI number?

The NPI number for Tyson Stock is 1114366788. It was assigned to this individual provider in the NPPES registry on June 17, 2013.

Where is Tyson Stock located?

Tyson Stock practices at 3000 N Halsted St Ste 401, Chicago, IL 60657. The listed phone number is (773) 935-5985.

What is Tyson Stock's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Tyson Stock was last updated on May 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.