Individual
MS. CHIQUITA MARIE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3109 BUTLER ST APT E, SPRINGFIELD, IL 62703-5868
(217) 828-8702
Mailing address
3109 BUTLER ST APT E, SPRINGFIELD, IL 62703-5868
(217) 828-8702
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
IL
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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