SearchIllinois106S00000X

Jacob Cooper

NPI 1043016488 · on the registry since 2025

Practice

Address
12122 S Indiana Ave
Chicago, IL 60628
Phone
(847) 890-8548

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Male
Record last updated
2025-02-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois