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MITCHELL A COOK, DPM – NPI #1285920835
Surgery, Foot & Ankle

NPI Profile for Dr MITCHELL A COOK in MARION, IL.

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Contact Information

MITCHELL A COOK, DPM
3329 W DEYOUNG ST
MARION, IL  62959-5884
 Phone: 618-767-6050
 Fax: 618-294-8203
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

 213ES0103X 48 Podiatry
 

Podiatrist

 213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MITCHELL A COOK · (Male)

NPI # 1285920835
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/22/2011
Last updated 02/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 016.005526
  • IL Other 016005526 ILLINOIS STATE LICENSE - PODIATRY
Hospital affiliation(s)
  • HARRISBURG MEDICAL CENTER - (Acute Care)
    100 DOCTOR WARREN TUTTLE DR
    HARRISBURG, IL 62946
  • HERRIN HOSPITAL - (Acute Care)
    201 S 14TH ST
    HERRIN, IL 62948
  • MEMORIAL HOSPITAL OF CARBONDALE - (Acute Care)
    405 W JACKSON
    CARBONDALE, IL 62902
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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