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Individual
DR. WAYNE ELLIOT COOPER
Active
Individual
DR. WAYNE ELLIOT COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003174
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016003174
LICENSE
IL
05
—
016003174
—
IL
01
—
07000891
LICENSE
IN
05
—
200258730
—
IN
01
—
P01693978
RAILROAD MEDICARE
IN
Enumeration date
05/31/2006
Last updated
11/17/2025
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