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Contact Information

THOMAS J COCKAYNE JR, DPM
CALIFORNIA AVENUE AT 15TH STREET
CHICAGO, IL60608
 Phone: 773-542-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for THOMAS J COCKAYNE JR · (Male)

NPI Number 1063820231
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/31/2014
Last updated 07/31/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 135.000836
Hospital affiliation(s)
  • CARLINVILLE AREA HOSPITAL - (Critical Access)
    20733 N BROAD STREET
    CARLINVILLE, IL 62626
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    701 N FIRST ST
    SPRINGFIELD, IL 62781
  • ST JOHNS HOSPITAL - (Acute Care)
    800 E CARPENTER ST
    SPRINGFIELD, IL 62769
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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