Jacquelyn Cooper

NPI #1124667621 in Hillside, Illinois

Provider Information

NPI Number
1124667621
Entity Type
Individual
Name
Jacquelyn Cooper
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Dec 31, 2019
Last Updated
Dec 31, 2019

Practice Location

Address
230 N LIND AVE
ZIP Code
60162-1538
Phone
(773) 587-0827

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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