Jack Cooksey, M.D.
Specialist · Evanston, IL
Practice location
2505 Lawndale AveEvanston, IL 60201-1157
- Phone
- (847) 475-8184
NPI record
- NPI
- 1497030068
- Entity type
- Individual (Type 1)
- Enumeration date
- October 14, 2011
- Last updated
- October 14, 2011
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X |
036038562 | IL |
About Dr. Cooksey
Jack Cooksey, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 2505 Lawndale Ave, Evanston, IL 60201-1157. The NPI number 1497030068 was assigned on October 14, 2011 and the record was last updated on October 14, 2011.
Dr. Cooksey lists a license in the registry: #036038562 (IL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jack Cooksey, M.D.?
The NPI number is 1497030068.
What is the phone number of Dr. Cooksey?
The phone number listed for the practice location is (847) 475-8184.
Where is Dr. Cooksey located?
2505 Lawndale Ave, Evanston, IL 60201-1157.
What is the taxonomy code for Dr. Cooksey?
The primary taxonomy code is 174400000X – Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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