# DR. JAC ALAN COOPER JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144583287
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 01080567A | IN | — |
| 208600000X | Surgery Physician | 125.061379 | IL | — |
| 208C00000X | Colon & Rectal Surgery Physician | 01080567A | IN | — |
| 208C00000X | Colon & Rectal Surgery Physician | 036153198 | IL | Yes |

## Other

- **Enumeration date:** 06/22/2012
- **Last updated:** 11/11/2025