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Individual
DR. J WESLEY COOK
Active
Individual
DR. J WESLEY COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36080259
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036080259
—
IL
01
—
0586501
AETNA PROVIDER NUMBER
IL
01
—
31604484
BLUE CROSS BLUE SHIELD
IL
01
—
725326
HUMANA PROVIDER NUMBER
IL
Enumeration date
10/06/2005
Last updated
03/22/2023
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