DR. JACK COOKSEY (NPI# 1497030068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497030068 |
| Entity Type | Individual |
| Full Name | DR. JACK COOKSEY |
| Credential | M.D. |
| Practice Address |
2505 Lawndale Ave Evanston IL 60201-1157 |
| Practice Telephone | 8474758184 |
| Mailing Telephone | 8474758184 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 036038562 | IL | Other Service Providers |
| Street Address |
2505 LAWNDALE AVE |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-1157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699299313 | Bridges Habilitation Services, Inc. | Specialist | 1425 Highway 150 S Ste 2, Evanston, WY 82930-5377 | 2017-08-03 |
| 1689027609 | Adam Zastrow | Specialist | 834 Seward St Apt 1, Evanston, IL 60202-5322 | 2016-07-14 |
| 1366839912 | Marie Doyle | Specialist | 2203 Central St, Apt. 1, Evanston, IL 60201-5718 | 2015-04-21 |
| 1124433248 | Foundation for Medical Development In Central Europe Inc | Specialist | 1927 Sherman Ave Apt 3n, Evanston, IL 60201-3229 | 2014-06-26 |
| 1790109684 | Haley Zimmerman | Specialist | 2307 Central St Apt 2, Evanston, IL 60201-5730 | 2014-02-12 |
| 1376830240 | Megan Romero | Specialist | 2663 Prairie Ave, Apt 3, Evanston, IL 60201-5744 | 2011-06-29 |
| 1225330046 | Alison Lynn Velasco | Specialist | 2316 Prospect Ave., Evanston, IL 60201-1838 | 2010-11-30 |
| 1629382858 | Thomas J Chorba Md Sc | Specialist | 1101 Howard Street, Suite 105, Evanston, IL 60202 | 2010-07-29 |
| 1962737379 | Gwendolyn Mason Fiske | Specialist | 1047 Darrow Ave, Evanston, IL 60202 | 2009-10-03 |
| 1063645810 | Cherie Monique Adams | Specialist | 510 Kedzie St, Floor 1, Evanston, IL 60202-2306 | 2009-08-27 |
| Find all providers in EVANSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.