Individual
DR. J WESLEY COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5801 W CORCORAN PL, CHICAGO, IL 60644
(773) 285-6400
(773) 498-3096
Mailing address
4101 N RAVENSWOOD AVE, CHICAGO, IL 60613-2193
(773) 285-6400
(773) 498-3096
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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