David Cook
Individual provider Active NPI Family Medicine Physician · Colona, IL
NPI 1043955768 · NPPES record last updated Mar 20, 2026
Key facts
- NPI
- 1043955768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 125.080373 (IL)
- Practice address
- 1604 Cleveland Rd
Colona, IL 61241-8970 - Phone
- (309) 949-2999
- Fax
- (309) 520-2566
- NPI assigned
- Apr 28, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hammond Henry Dist Hospital
Practice addresses (Care Compare)
600 N College Ave
Geneseo, IL 61254-1007
Phone (309) 944-9124
600 N College Ave
Suite 120
Geneseo, IL 61254-1092
Phone (309) 944-1275
Hospital & facility affiliations
- Hammond Henry Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230915001313 | IL | Practitioner - Family Practice | 0840654463 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.080373 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Katherine Shaw Bethea Hospital | Current |
Accepting new patients | |
| KSB Medical Group, Inc. | Current |
Accepting new patients | |
| KSB Medical Group, Inc. | Family Medicine | Current |
Accepting new patients |
| Hammond Henry Dist Hospital | Current | Accepting new patients | |
| Hammond Henry Dist Hospital | Current |
Accepting new patients | |
| Hammond Henry Dist Hospital | Current |
Accepting new patients | |
| Hammond Henry Dist Hospital | Current |
Accepting new patients |
Locations
1604 Cleveland Rd
Colona, IL 61241
Phone (309) 796-2999
215 E 1st St
Ste 111
Dixon, IL 61021
Phone (815) 285-5477
102 S Hennepin Ave
Dixon, IL 61021
Phone (815) 285-8520
403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629
600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342
600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431
1258 W South St
Ste 2
Kewanee, IL 61443
Interoperability endpoints
- dcook136565@uihealth.direct-ci.com
- dcook638964@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125.080373 | IL | Yes |
Addresses
Primary practice location
1604 Cleveland Rd
Colona, IL 61241-8970
Mailing address
1501 E Gardner LN Apt 614
Peoria Heights, IL 61616-3625
Other providers in Colona, IL
- Barbara Allen
- Tanya Jo Braet
- Douglas John Bull
- Colona School District 190
- East Moline Dental Center PC
- Harry H Fonteyne
- Robyn Marie Gansemer
- Cindy Gibson
- Greenpark Pharmacy Inc
All providers in Colona, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.