Individual
LACY HOLT COOK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
57 W VAN BUREN ST, OSWEGO, IL 60543-7213
(630) 554-3578
(630) 554-3792
Mailing address
PO BOX 698, ATTN LACY COOK, OSWEGO, IL 60543-0698
(630) 554-3578
(630) 554-3792
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4782002
BC/BS
—
Enumeration date
08/03/2006
Last updated
07/08/2007
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