Individual
EMILY E COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
8600 IL ROUTE 91, SUITE 300, PEORIA, IL 61615
(309) 691-6616
Mailing address
8600 IL ROUTE 91, SUITE 300, PEORIA, IL 61615
(309) 691-6616
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001724
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147001724
IL
IL
Enumeration date
08/22/2019
Last updated
03/26/2024
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