Individual
LYNN SCOTT COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
409 W OAK ST STE 202, CARBONDALE, IL 62901-1464
(618) 529-0555
(618) 529-0556
Mailing address
14717 N 740 EAST RD, OAKWOOD, IL 61858-9410
(217) 377-5768
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
036079723
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036079723
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508891219
NPI
IL
Enumeration date
07/11/2006
Last updated
10/07/2019
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