Individual
DAVID A COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 WINFIELD ROAD, WINFIELD, IL 60190
(630) 933-4700
(630) 933-4721
Mailing address
25 WINFIELD ROAD, WINFIELD, IL 60190
(630) 933-4700
(630) 933-4721
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036055493
IL
208M00000X
Hospitalist Physician
036055493
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222075
BLUE CROSS GROUP NUMBER
IL
05
—
036055493
—
IL
01
—
363149833
TAX IDENTIFICATION NUMBER
IL
01
—
3631498336019001
CDPG HFS PAYEE ID
IL
Enumeration date
07/10/2006
Last updated
05/24/2009
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