Organization
COOKE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD LYNZIE COOKE M.D. (ATTENDING PHYSICIAN)
(877) 815-6668
Entity
Organization
Contact information
Practice address
16750 80TH AVE, STE A, TINLEY PARK, IL 60477-3173
(877) 815-6668
Mailing address
16750 80TH AVE, STE A, TINLEY PARK, IL 60477-3173
(877) 815-6668
(877) 815-4960
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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