Individual provider · Type 1 NPI

Jack Cooksey, MD

Specialist · Evanston, IL

NPI number 1497030068 Active

Practice location

2505 Lawndale Ave
Evanston, IL 60201-1157

Call (847) 475-8184 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X036038562 (IL)

Specialist: 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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About NPI 1497030068

Jack Cooksey, MD's National Provider Identifier is 1497030068, issued on Oct 14, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Evanston, IL. The record was last updated on Oct 14, 2011.