Cook, Edwin John
Cook, Edwin John is an individual health care provider with primary practice located at 4001 Vollmer Rd. , Olympia Fields IL 60461. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Cook, Edwin John can be contacted via phone (708) 481-8883.Contact Information
Primary practice address
4001 Vollmer Rd.
Olympia Fields IL 60461
Phone: (708) 481-8883
Fax: (708) 481-2917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036054673 | Illinois |
Profile Details
| NPI number | 1508952011 |
|---|---|
| LBN Legal business name | Cook, Edwin John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 22nd, 2015 - about 10 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 | 1508952011 | NPPES |
| Illinois | MEDICAID | 036054673 |
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