Individual
ALEXANDRA MARIE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
707 LAKE COOK RD STE 280, DEERFIELD, IL 60015-5255
(847) 480-0004
(847) 480-8707
Mailing address
163 WILLIAM ST, NEW YORK, NY 10038-2602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
027351
NY
363A00000X
Physician Assistant
Primary
085010626
IL
Other
Enumeration date
08/26/2021
Last updated
05/20/2025
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