Erica S Cook APN

NPI 1205106341 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1205106341
Gender Female
Enumeration Date 01/06/2012
Last Updated 07/20/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
1340 CHARLES ST
SUITE 400
ROCKFORD IL, 61104-2200, US
Phone (779) 696-9512
Fax (779) 696-5488
Business Location
PO BOX 1567
ROCKFORD IL, 61110-0067, US
Phone (779) 696-7150
Fax (815) 639-8451
Toxanomy
Taxonomy Code 363LF0000X
License State Illinois
License Number 209009291
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According to our database, Erica S Cook APN NPI is 1205106341, taxonomy code is 363LF0000X and license number is 209009291, license state is located at Illinois. Erica S Cook APN physically located at 1340 Charles St, Rockford IL, 61104-2200. NPI Number Erica S Cook APN has the Individual type.

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1205106341 NPI number is provided on an as is basis without warranty of any kind. 1205106341 is maintained by the National Plan & Provider Enumeration System. The contents of Erica S Cook APN are for informational purposes only.