Individual
ROBERT COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-2646
(217) 876-2615
Mailing address
2300 N EDWARD ST, DECATUR, IL 62526-4163
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
070007747
IL
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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