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Individual

DR. WAYNE ELLIOT COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
225 W WASHINGTON ST STE 1500, CHICAGO, IL 60606-3485
(847) 504-5000
(847) 504-5015
Mailing address
225 W WASHINGTON ST STE 1500, CHICAGO, IL 60606-3485
(847) 504-5000
(847) 504-5015

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003174
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
016003174
LICENSE
IL
05
016003174
IL
01
07000891
LICENSE
IN
05
200258730
IN
01
P01693978
RAILROAD MEDICARE
IN
Enumeration date
05/31/2006
Last updated
11/17/2025
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