Provider Demographics
NPI:1831350875
Name:COOK, AKILAH L (MD)
Entity type:Individual
Prefix:DR
First Name:AKILAH
Middle Name:L
Last Name:COOK
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 1:22638 GRANITE DR
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-8979
Mailing Address - Country:US
Mailing Address - Phone:708-601-0890
Mailing Address - Fax:815-717-7229
Practice Address - Street 1:1005 W LARAWAY RD STE 230
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-4117
Practice Address - Country:US
Practice Address - Phone:815-934-8444
Practice Address - Fax:815-717-7229
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01075728A208000000X, 208M00000X
IL036120373208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201310100Medicaid
INM47140160Medicare PIN