Cooke Medical, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COOKE MEDICAL, LLC

Practice address

16750 80TH Ave
Ste a
Tinley Park, IL 60477-3173

Phone

(877) 815-6668

NPI assigned

May 3, 2011

Organization subpart

No

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

Authorized official

Name

Gerald Lynzie Cooke, M.D.

Title

Attending Physician

Phone

(877) 815-6668

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1326330853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16750 80TH AVE",
            "address_2": "STE A",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773173",
            "telephone_number": "877-815-6668",
            "fax_number": "877-815-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16750 80TH AVE",
            "address_2": "STE A",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773173",
            "telephone_number": "877-815-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOKE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "LYNZIE",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "877-815-6668",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.