Individual
DR. JUSTIN M COOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
24W788 75TH ST, NAPERVILLE, IL 60565
(630) 465-6685
(630) 445-0544
Mailing address
24W788 75TH ST, NAPERVILLE, IL 60565-1684
(630) 465-6685
(630) 445-0544
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010123
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841493111
GROUP NPI
IL
01
—
K12763
MEDICARE PIN
IL
Enumeration date
12/15/2006
Last updated
11/20/2018
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