Gregory B Cook Pc | |
61 Polaris Dr, Suite 2, Lake In The Hills, IL 60156-5606 | |
(815) 356-6200 | |
(224) 509-8068 |
Full Name | Gregory B Cook Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 61 Polaris Dr, Lake In The Hills, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962582353 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038008183 (Illinois) | Primary |
Provider Name | Gregory B. Cook |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1689628562 PECOS PAC ID: 6608852561 Enrollment ID: I20040629001580 |
Mailing Address | Practice Location Address |
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Gregory B Cook Pc 61 Polaris Dr, Suite 2, Lake In The Hills, IL 60156-5606 Ph: (815) 356-6200 | Gregory B Cook Pc 61 Polaris Dr, Suite 2, Lake In The Hills, IL 60156-5606 Ph: (815) 356-6200 |
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