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
Fax: (630) 933-4721
Website:

Health care specialties

SpecialtyCodeLicense #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 15 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 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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