Latasha M Cook | Chicago, IL • PECOS Search

Latasha M Cook

Registered Nurse

Nursing Service Providers

1015 W Lawrence Ave Fl 2, Chicago, IL 60640-5017

PECOS Enrollment

Based on the most recent information from CMS, provider Latasha M Cook does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1124716881
Provider Type
Individual
Full Name
Cook, Latasha M
Credential
RN

Gender
Female
Sole Proprietor
No
Enumeration Date
4/28/2023
Last Updated
4/28/2023

Contact Information

Practice Location

1015 W Lawrence Ave Fl 2, Chicago, IL 60640-5017

Unlisted Fax

Mailing Location

1015 W Lawrence Ave Fl 2, Chicago, IL 60640-5017

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 163W00000X Primary	Description Registered Nurse Nursing Service Providers	License 041.396038 Illinois