Individual
DR. DALE GORDON MONROE-COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1560 SHERMAN AVE., SUITE 400, EVANSTON, IL 60201-4803
(847) 869-1500
(847) 869-1515
Mailing address
1560 SHERMAN AVE., SUITE 400, EVANSTON, IL 60201-4803
(847) 869-1500
(847) 869-1515
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071002878
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001607587
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/31/2006
Last updated
12/28/2012
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