| Doctor Name: | MR. RICHARD JOSEPH COOK |
| NPI Number: | 1710981055 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNA |
| License Number: | 041-149623 |
| Business Practice Address: | Sarah Bush Lincoln Health Center Mattoon, IL - 619380372 |
| Business Phone Number: | 1217258252 |
| Business Fax Number: | |
| Mailing Address: | 3115 Loren Ln, CHARLESTON |
| State: | IL |
| Postal Code: | 619204417 |
| Phone Number: | 2173485312 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2005 |
| NPI Last Update Date: | 04/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 041-149623 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |