Individual
KESI ALYCE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13102 WESTERN AVE, BLUE ISLAND, IL 60406-2409
(708) 307-6433
Mailing address
13102 WESTERN AVE, BLUE ISLAND, IL 60406-2409
(708) 307-6433
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041341297
IL
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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