Individual
BRIAN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
737 N MICHIGAN AVE, STE 2310, CHICAGO, IL 60611-2635
(312) 266-6647
(312) 266-6612
Mailing address
737 N MICHIGAN AVE, STE 2310, CHICAGO, IL 60611-2635
(312) 266-6647
(312) 266-6612
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036074309
IL
207ND0101X
MOHS-Micrographic Surgery Physician
036074309
IL
207NS0135X
Procedural Dermatology Physician
036074309
IL
Other
Enumeration date
06/15/2005
Last updated
09/05/2013
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