Cook, Benjamin
Cook, Benjamin is an individual health care provider with primary practice located at 2651 W Washington Blvd , Chicago IL 60612-2055. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Cook, Benjamin can be contacted via phone (773) 553-1800.Contact Information
Primary practice address
2651 W Washington Blvd
Chicago IL 60612-2055
Phone: (773) 553-1800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 1913659 | Illinois |
Profile Details
| NPI number | 1629580675 |
|---|---|
| LBN Legal business name | Cook, Benjamin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2017 |
| Last updated | Oct 31st, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629580675 | NPPES |
| Illinois | Other | 1913659 | ILLINOIS STATE BOARD OF EDUCATION |
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