Dr. Ryan Thomas Cook, DO
Family Medicine in Chicago, IL. Individual provider (NPI-1).
NPI number1962068965
StatusActive
Last updated in NPPESSep 29, 2022
Details
- NPI
- 1962068965
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ryan Thomas Cook
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2019
- Certification date
- Sep 29, 2022
- Last updated
- Sep 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036162133 | IL | Yes |
Practice location
2845 N Sheridan Rd Ste 801Chicago, IL 60657
Phone 773-665-6851
Mailing address
2845 N Sheridan Rd Ste 801Chicago, IL 60657
Phone 773-665-6851
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