Individual
MR. ROLLEN MICHAEL COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
180 HANSEN CT, WOOD DALE, IL 60191-1121
(630) 595-8200
(630) 595-3066
Mailing address
2312 W BELMONT AVE APT 2E, CHICAGO, IL 60618-6845
(773) 965-1361
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1910812
IL
Other
Enumeration date
08/28/2009
Last updated
11/17/2023
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