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Individual

DR. TERRY G. COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
4200 ILBERRY RD, MOUNT VERNON, IL 62864-6748
(618) 242-6338
(618) 242-0465
Mailing address
4200 ILBERRY RD, MOUNT VERNON, IL 62864-6748
(618) 242-6338
(618) 242-0465

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046006315
IL

Other

Enumeration date
08/30/2006
Last updated
08/29/2008
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