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NPI Code Detail

MEDICARE: DR. JOHN RONALD COOK DDS

MEDICARE: DR. JOHN RONALD COOK DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry19018354IL

General Provider Information

NPI Number : 1073680138
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN RONALD COOK DDS
Provider Business Mailing Address
First Line : 127 HAMILTON ST
Second Line :
City : GENEVA
State : IL
Zip : 60134-4516
Country : US
Telephone Number : 630-232-0895
Fax Number : 630-232-0051
Provider Business Practice Location Address
First Line : 127 HAMILTON ST
Second Line :
City : GENEVA
State : IL
Zip : 60134-4516
Country : US
Telephone Number : 630-232-0895
Fax Number : 630-232-0051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 03/15/2026

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Directions to “ DR. JOHN RONALD COOK DDS” Practice Location

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