| Doctor Name: | MR. SHAUN PATRICK COX |
| NPI Number: | 1487989513 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 71002601A |
| Business Practice Address: | 209 W Park St Westville, IL - 618831635 |
| Business Phone Number: | 2172673785 |
| Business Fax Number: | |
| Mailing Address: | 209 W Park St, WESTVILLE |
| State: | IL |
| Postal Code: | 618831635 |
| Phone Number: | 2172673785 |
| Fax Number: | |
| NPI Enumeration Date: | 10/07/2009 |
| NPI Last Update Date: | 10/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 71002601A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |