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Dr. Jack Cooksey, MD
Specialist in Evanston, Illinois
NPI 1497030068

Jack Cooksey is a Specialist based in Evanston, IL. Jack Cooksey practices in Evanston, IL and has the professional credentials of MD. The NPI Number for Jack Cooksey is 1497030068 and holds a License No. 036038562 (Illinois).

The current practice location address for Jack Cooksey is 2505 Lawndale Ave, Evanston, IL and can be reached out via phone at 847-475-8184.

Location: 2505 Lawndale Ave, Evanston, IL, 60201-1157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497030068
Provider Name
Jack Cooksey
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2505 Lawndale Ave, Evanston, IL, 60201-1157
Phone Number
847-475-8184
Fax Number
Provider Enumeration Date
10/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2505 Lawndale Ave
City
Evanston
State
Illinois
Zip
60201-1157
Phone Number
847-475-8184
Fax Number
person
Provider Business Mailing Address Details
Address
2505 Lawndale Ave
City
Evanston
State
Illinois
Zip
60201-1157
Phone Number
847-475-8184
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036038562 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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