Cook, Suzanne

Cook, Suzanne is an individual health care provider with primary practice located at 1850 Gateway Dr , Sycamore IL 60178-3192. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cook, Suzanne can be contacted via phone (815) 758-8671.

Contact Information

Primary practice address
1850 Gateway Dr Sycamore IL 60178-3192
Phone: (815) 758-8671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-061888 Illinois

Profile Details

NPI number 1134138365
LBN Legal business name Cook, Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Apr 10th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134138365 NPPES
Illinois MEDICAID 036061888
Illinois Other 008450

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