Dale Gordon Monroe-Cook in Evanston - Clinical

Dale Gordon Monroe-Cook - NPI 1538174917

Dale Gordon Monroe-Cook is a Clinical in Evanston, Illinois. Dale Gordon Monroe-Cook practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dale Gordon Monroe-Cook is 1538174917. The last update date is 2012-12-28.

Dale Gordon Monroe-Cook's current location address is 1560 Sherman Ave., Evanston, Illinois. You can contact this provider via phone number 8478691500 and fax number 8478691515. The mailing address for Dale Gordon Monroe-Cook is 1560 Sherman Ave., Evanston, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Dale Gordon Monroe-Cook
Address 1560 Sherman Ave., Evanston, Illinois
Phone Number 8478691500
Fax Number 8478691515
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1538174917
Provider Enumeration Date 2006-07-31
Last Updated Date 2012-12-28

Provider Mailing Address Detail

Address 1560 Sherman Ave.
City Evanston
State Illinois (IL)
Post Code 602014803
Phone Number 8478691500
Fax Number 8478691515

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 71002878
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1607587 IL BLUE CROSS BLUE SHIELD

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FAQs about Dale Gordon Monroe-Cook

What is the unique 10-digit identification code assigned to Dale Gordon Monroe-Cook by the Centers for Medicare & Medicaid Services?

The Dale Gordon Monroe-Cook has been issued the NPI (National Provider Identifier) 1538174917, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Dale Gordon Monroe-Cook's physical address?

The Dale Gordon Monroe-Cook is physically located at 1560 Sherman Ave., in the city of Evanston, IL, with the postal code 602014803.

What is Dale Gordon Monroe-Cook's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Dale Gordon Monroe-Cook is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

On what date did the Dale Gordon Monroe-Cook receive its 1538174917 assignment from the Centers for Medicare & Medicaid Services?

The Dale Gordon Monroe-Cook was assigned its 1538174917 by the Centers for Medicare & Medicaid Services on 2006-07-31.

As of what date were the details pertaining to Dale Gordon Monroe-Cook last refreshed?

The information related to the Dale Gordon Monroe-Cook, including its address, specialty, and other relevant details, was last updated on 2012-12-28.

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