Individual
RACHEL BROOK COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2118 25TH ST STE C, COLUMBUS, IN 47201-3240
(812) 376-9427
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01075473A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000991458
ANTHEM PIN
—
05
—
100342700
—
IN
Enumeration date
03/29/2012
Last updated
03/13/2026
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