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Individual

DR. MITCHELL ANDREW COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
3329 W DEYOUNG ST, MARION, IL 62959-5884
(618) 767-6050
(618) 294-8203
Mailing address
3329 W DEYOUNG ST, MARION, IL 62959-5884
(618) 767-6050

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016.005526
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005526
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
016005526
ILLINOIS STATE LICENSE - PODIATRY
IL
Enumeration date
06/22/2011
Last updated
02/15/2023
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