Individual
KATHLEEN A COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-5113
Mailing address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-5113
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
209.001899
IL
163WW0000X
Wound Care Registered Nurse
Primary
209.001899
IL
163WX1500X
Ostomy Care Registered Nurse
209.001899
IL
Other
Enumeration date
06/17/2011
Last updated
07/01/2011
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