Active NPI
Marc Cook, PHARM.D.
- Geriatric Pharmacist
- Skokie, IL
National Provider Identifier
1639208077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- Practice address
- 7440 Frontage Rd
Skokie, IL 60077-3212 - Phone
- (847) 673-8727
- NPI assigned
- Mar 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | IL | Primary |
Addresses
Primary practice location
7440 Frontage Rd
Skokie, IL 60077-3212
Mailing address
415 Pottowatamie CT
Oswego, IL 60543-8960
Phone (630) 551-1315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-040497 | IL | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forum Extended Care SVC Inc II | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Chicago, IL
- NPI 1346291499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639208077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 POTTOWATAMIE CT",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605438960",
"telephone_number": "630-551-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7440 FRONTAGE RD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600773212",
"telephone_number": "847-673-8727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "MARC",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.