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General NPI Number Information
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NPI Number | 1831350875
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Entity Type | Individual
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Provider Name | AKILAH L COOK M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 07/05/2024
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Provider Practice Location Address
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Address Line | 1005 W LARAWAY RD STE 230
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City | NEW LENOX
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State | IL
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Zip | 60451-4117
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Country | US
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Telephone | 815-934-8444
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Fax | 815-717-7229
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Provider Business Mailing Address
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Address Line | 22638 GRANITE DR
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City | FRANKFORT
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State | IL
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Zip | 60423-8979
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Country | US
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Telephone | 708-601-0890
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Fax | 815-717-7229
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 01075728A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 01075728A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036120373
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License Number State | IL
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