Cooksey, Jack

Cooksey, Jack is an sole proprietor health care provider with primary practice located at 2505 Lawndale Ave , Evanston IL 60201-1157. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Cooksey, Jack can be contacted via phone (847) 475-8184.

Contact Information

Primary practice address
2505 Lawndale Ave Evanston IL 60201-1157
Phone: (847) 475-8184
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036038562 Illinois

Profile Details

NPI number 1497030068
LBN Legal business name Cooksey, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2011
Last updated Oct 14th, 2011 - about 14 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.

Request for update

Popular Providers