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DR. JACK COOKSEY M.D.
NPI 1497030068
Specialist in Evanston, IL

Active since October 14, 2011
2505 LAWNDALE AVE, EVANSTON, IL 60201(847) 475-8184 Get Directions Write a Review

NPPES record last updated: October 14, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jack Cooksey M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK COOKSEY M.D. (NPI 1497030068) is an individual specialist in Evanston, Illinois, licensed in Illinois (036038562) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1497030068
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JACK COOKSEYCredential: M.D.
Location Address2505 LAWNDALE AVEEvanston, IL 60201-1157
Mailing Address2505 Lawndale AveEvanston, IL 60201-1157 · (847) 475-8184
Phone(847) 475-8184
Sole ProprietorYes
Enumeration DateOctober 14, 2011
✔ NPI 1497030068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 036038562
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2505 LAWNDALE AVE, Evanston, IL 60201
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Other Identifiers 2

Medicare PIN664100IL
Medicare UPIND14543IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Cooksey's NPI number?

The NPI number for Jack Cooksey is 1497030068. It was assigned to this individual provider in the NPPES registry on October 14, 2011.

Where is Jack Cooksey located?

Jack Cooksey practices at 2505 Lawndale Ave, Evanston, IL 60201. The listed phone number is (847) 475-8184.

What is Jack Cooksey's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jack Cooksey was last updated on October 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.