Individual
JEFFREY R COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
927 BROADWAY ST, QUINCY, IL 62301-2719
(217) 223-8400
(217) 221-1344
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1544
WI
207RC0000X
Cardiovascular Disease Physician
036120630
IL
207RI0011X
Interventional Cardiology Physician
Primary
036120630
IL
Other
Enumeration date
05/16/2006
Last updated
11/27/2023
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