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Lacy Holt Cook JR., DC
Chiropractor in Oswego, Illinois
NPI 1750399069

Lacy Holt Cook JR. is a Chiropractor based in Oswego, IL. Lacy Holt Cook JR. practices in Oswego, IL and has the professional credentials of DC. The NPI Number for Lacy Holt Cook JR. is 1750399069 and holds a License No. (Illinois).

The current practice location address for Lacy Holt Cook JR. is 57 W Van Buren St, Oswego, IL and can be reached out via phone at 630-554-3578 and via fax at 630-554-3792.

Location: 57 W Van Buren St, Oswego, IL, 60543-0698
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750399069
Provider Name
Lacy Holt Cook JR.
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
57 W Van Buren St, Oswego, IL, 60543-0698
Phone Number
630-554-3578
Fax Number
630-554-3792
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4782002 01 BC/BS
institution
Provider Business Practice Location Address Details
Address
57 W Van Buren St
City
Oswego
State
Illinois
Zip
60543-7213
Phone Number
630-554-3578
Fax Number
630-554-3792
person
Provider Business Mailing Address Details
Address
57 W Van Buren St
City
Oswego
State
Illinois
Zip
60543-7213
Phone Number
630-554-3578
Fax Number
630-554-3792
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
(Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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