Individual
JAMILA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8410 S HERMITAGE AVE, CHICAGO, IL 60620-4740
(872) 223-6923
Mailing address
8410 S HERMITAGE AVE, CHICAGO, IL 60620-4740
(872) 223-6923
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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