Cox, Jack Gerard
Cox, Jack Gerard is an sole proprietor health care provider with primary practice located at 456 W Frontage Rd Suite 28, Northfield IL 60093-3034. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cox, Jack Gerard can be contacted via phone (847) 220-2224.Contact Information
Primary practice address
456 W Frontage Rd Suite 28
Northfield IL 60093-3034
Phone: (847) 220-2224
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Illinois |
Profile Details
| NPI number | 1033269535 |
|---|---|
| LBN Legal business name | Cox, Jack Gerard |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1033269535 | NPPES |
| Illinois | Other | 01636627 | BLUECROSSBLUESHIELD |
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