Cooke, Jonathan Edward

Cooke, Jonathan Edward is an sole proprietor health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190-1295. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Cooke, Jonathan Edward can be contacted via phone (630) 933-4700.

Contact Information

Primary practice address
25 N Winfield Rd Winfield IL 60190-1295
Phone: (630) 933-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X N2450 Texas
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036127781 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036127781 Illinois

Profile Details

NPI number 1235384298
LBN Legal business name Cooke, Jonathan Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2008
Last updated May 11th, 2017 - about 8 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 1235384298 NPPES
Illinois Other 036127781 MEDICAID
Illinois Other F400201360 MEDICAID
Illinois Other 206147 MEDICAID

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