Individual
COOPER HOUSTON FREDRICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
1135 SKOKIE BLVD, NORTHBROOK, IL 60062-4118
(847) 441-5600
(847) 441-7968
Mailing address
1135 SKOKIE BLVD, NORTHBROOK, IL 60062-4118
(847) 441-5600
(847) 441-7968
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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