Individual
LESLEY-ANN GAIL DERBY MCCOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(561) 548-1450
(561) 548-1459
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(561) 548-1450
(561) 548-1459
Taxonomy
Speciality
Code
Description
License number
State
207RI0008X
Hepatology Physician
Primary
036.170844
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2021
Last updated
07/02/2024
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