SearchIllinois164W00000X

Jacquelyn Cooper

NPI 1124667621 · on the registry since 2019

Practice

Address
230 N Lind Ave
Hillside, IL 60162
Phone
(773) 587-0827

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-12-31

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