Individual
ELIZABETH D COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
209 CROSSROADS PL, SUITE 140, MOUNT VERNON, IL 62864-6545
(618) 241-7207
(618) 241-7210
Mailing address
209 CROSSROADS PL, SUITE 140, MOUNT VERNON, IL 62864-6545
(618) 241-7207
(618) 241-7210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-115578
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115578
—
IL
01
—
413202
BCBS
IL
Enumeration date
08/09/2006
Last updated
11/08/2007
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