Cooke, David A
Cooke, David A is an individual health care provider with primary practice located at 25 Winfield Road , Winfield IL 60190. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Cooke, David A can be contacted via phone (630) 933-4700.Contact Information
Primary practice address
25 Winfield Road
Winfield IL 60190
Phone: (630) 933-4700
Fax: (630) 933-4721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036055493 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036055493 | Illinois |
Profile Details
| NPI number | 1942234430 |
|---|---|
| LBN Legal business name | Cooke, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | May 24th, 2009 - about 16 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 | 1942234430 | NPPES |
| Illinois | Other | 3631498336019001 | CDPG HFS PAYEE ID |
| Illinois | Other | 0222075 | CDPG HFS PAYEE ID |
| Illinois | MEDICAID | 036055493 | CDPG HFS PAYEE ID |
| Illinois | Other | 363149833 | CDPG HFS PAYEE ID |
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