| Doctor Name: | JACK GERARD COX |
| NPI Number: | 1033269535 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW |
| License Number: | |
| Business Practice Address: | 456 W Frontage Rd Suite 28 Northfield, IL - 600933034 |
| Business Phone Number: | 8472202224 |
| Business Fax Number: | |
| Mailing Address: | 2723 Thayer St, EVANSTON |
| State: | IL |
| Postal Code: | 602011344 |
| Phone Number: | 8478648938 |
| Fax Number: | |
| NPI Enumeration Date: | 01/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |