NPIMap

Organization Active NPI

Dr. J. Wesley Cook, D.O., LLC

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1528384567
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36080259 Issued in IL
Legal business name
DR. J. WESLEY COOK, D.O., LLC
Practice address
2001 W Addison St
Chicago, IL 60618-6132
Phone
(773) 404-1000
Fax
(773) 404-9750
NPI assigned
Apr 15, 2010
Last updated
Apr 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
J Wesley Cook, D.O.NPI 1104814912
Title
Owner
Phone
(773) 404-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36080259 IL Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 336043254 IL

Addresses

Primary practice location

2001 W Addison St
Chicago, IL 60618-6132

Mailing address

2001 W Addison St
Chicago, IL 60618-6132
Phone (773) 404-1000

Other identifiers 3

IdentifierTypeStateIssuer
0586501OtherILAETNA
31604484OtherILBCBS OF IL
725326OtherILHUMANA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1528384567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186132",
            "telephone_number": "773-404-1000",
            "fax_number": "773-404-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186132",
            "telephone_number": "773-404-1000",
            "fax_number": "773-404-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. J. WESLEY COOK, D.O., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-404-1000",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36080259",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IL",
            "license": "336043254",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0586501",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "31604484",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "725326",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.