Individual
DR. ROGER EDWARD DE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 E 22ND STREET, SUITE A, LOMBARD, IL 60148-6110
(630) 620-8061
(630) 916-7525
Mailing address
500 E 22ND STREET, SUITE A, LOMBARD, IL 60148-6110
(630) 620-8061
(630) 916-7525
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
36-045742
IL
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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