Individual
PAUL NATHANIEL COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036157168
IL
208000000X
Pediatrics Physician
Primary
036157168
IL
Other
Enumeration date
03/27/2018
Last updated
06/13/2022
Update your record
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