Cook, John C

Cook, John C is an individual health care provider with primary practice located at 1010 Fairway Dr , Freeport IL 61032-6600. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Cook, John C can be contacted via phone (815) 599-7880.

Contact Information

Primary practice address
1010 Fairway Dr Freeport IL 61032-6600
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 041299381 Illinois

Profile Details

NPI number 1467426445
LBN Legal business name Cook, John C
Credentials APRN,BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Oct 20th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467426445 NPPES
Illinois Other L88539 MEDICARE PRIOR 7/15/2007

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