Individual
DR. JEFFERY KENNETH COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
183 S BLOOMINGDALE RD STE 101, BLOOMINGDALE, IL 60108-1454
(630) 307-0124
Mailing address
183 S BLOOMINGDALE RD STE 101, BLOOMINGDALE, IL 60108-1454
(630) 307-0124
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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