Individual
SHAURICE COOPWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7532 S INDIANA AVE, CHICAGO, IL 60619-1614
(224) 486-5225
Mailing address
7532 S INDIANA AVE, CHICAGO, IL 60619-1614
(224) 486-5225
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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