Organization Active NPI

Philip Cook DDS LLC

  • Dentist
  • Wilmette, IL
National Provider Identifier
1043541055
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19-0-14031 Issued in IL
Legal business name
PHILIP COOK DDS LLC
Practice address
1515 Sheridan Rd
Wilmette, IL 60091-1822
Phone
(847) 251-5200
NPI assigned
Jan 15, 2010
Last updated
Jul 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Philip M CookNPI 1114329943
Title
Dentist
Phone
(847) 251-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19-0-14031 IL Primary
Dentist 122300000X 019-027002 IL

Addresses

Primary practice location

1515 Sheridan Rd
Wilmette, IL 60091-1822

Mailing address

1515 Sheridan Rd
Wilmette, IL 60091-1822
Phone (847) 251-5200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1043541055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SHERIDAN RD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911822",
            "telephone_number": "847-251-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SHERIDAN RD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911822",
            "telephone_number": "847-251-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP COOK DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-251-5200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "19-0-14031",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-027002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.