Individual
JOHN C COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN,BC
Contact information
Practice address
1010 FAIRWAY DR, FREEPORT, IL 61032-6600
(815) 599-7880
Mailing address
421 W EXCHANGE ST, PO BOX 268, FREEPORT, IL 61032-4030
(815) 599-7958
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041299381
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L88539
MEDICARE PRIOR 7/15/2007
IL
Enumeration date
02/15/2006
Last updated
10/20/2017
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