Provider Demographics
NPI:1316220858
Name:COOK, KAREN D (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:D
Last Name:COOK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7960 W 159TH ST
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-5038
Mailing Address - Country:US
Mailing Address - Phone:708-532-7781
Mailing Address - Fax:708-532-9714
Practice Address - Street 1:7960 W 159TH ST
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-5038
Practice Address - Country:US
Practice Address - Phone:708-532-7781
Practice Address - Fax:708-532-9714
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051037984183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist