Cooke, Gerald L

Cooke, Gerald L is an sole proprietor health care provider with primary practice located at 6127 S University Ave , Chicago IL 60637-5894. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Cooke, Gerald L can be contacted via phone (708) 444-2310.

Contact Information

Primary practice address
6127 S University Ave Chicago IL 60637-5894
Phone: (708) 444-2310
Fax: (888) 509-9868
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036-109316 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-109316 Illinois

Profile Details

NPI number 1386768588
LBN Legal business name Cooke, Gerald L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Sep 23rd, 2022 - about 3 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 1386768588 NPPES
Illinois MEDICAID 036-109316

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