Individual
BETHANY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3903 INDIANAPOLIS BLVD, EAST CHICAGO, IN 46312-2555
(219) 392-6001
Mailing address
246 E JANATA BLVD, LOMBARD, IL 60148-5317
(630) 424-8900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008237
IL
Other
Enumeration date
06/22/2010
Last updated
01/05/2012
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