Individual
LAURA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1S376 SUMMIT AVE, OAKBROOK TERRACE, IL 60181-3985
(331) 221-1939
Mailing address
1S376 SUMMIT AVE, OAKBROOK TERRACE, IL 60181-3985
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.021406
IL
363LF0000X
Family Nurse Practitioner
Primary
209.021406
IL
Other
Enumeration date
08/13/2020
Last updated
07/12/2021
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