Individual
ERICA S COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1340 CHARLES ST, SUITE 400, ROCKFORD, IL 61104
(779) 696-9512
(779) 696-5488
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
(779) 696-7342
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209009291
IL
Other
Enumeration date
01/06/2012
Last updated
07/23/2018
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