Provider Demographics
NPI:1205089166
Name:COOKSEY, JESSICA AUBYN (MD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:AUBYN
Last Name:COOKSEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1475 E BELVIDERE RD STE 185
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-2026
Mailing Address - Country:US
Mailing Address - Phone:847-535-7658
Mailing Address - Fax:847-535-7260
Practice Address - Street 1:1475 E BELVIDERE RD STE 185
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-2026
Practice Address - Country:US
Practice Address - Phone:847-535-7658
Practice Address - Fax:847-535-7260
Is Sole Proprietor?:No
Enumeration Date:2008-10-23
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036134464207RC0200X, 207RS0012X
IL036.134464207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease