Healthcare Provider Details

I. General information

NPI: 1831350875
Provider Name (Legal Business Name): AKILAH L COOK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2008
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16750 80TH AVE STE D
TINLEY PARK IL
60477-3174
US

IV. Provider business mailing address

16750 80TH AVE STE D
TINLEY PARK IL
60477-3174
US

V. Phone/Fax

Practice location:
  • Phone: 815-934-8444
  • Fax: 815-717-7229
Mailing address:
  • Phone: 815-934-8444
  • Fax: 815-717-7229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number01075728A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036120373
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01075728A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: