Individual
CHARITY P COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, APN
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
820 S WOOD ST, 405W, 949, MC 808, CHICAGO, IL 60612-4325
(312) 413-7686
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209-001635
IL
Other
Enumeration date
10/23/2006
Last updated
01/30/2018
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