Individual
KARA DIANNE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, CPT
Contact information
Practice address
1839 N MONTICELLO AVE, 2W, CHICAGO, IL 60647-4740
(708) 522-5440
Mailing address
1839 N MONTICELLO AVE, 2W, CHICAGO, IL 60647-4740
(708) 522-5440
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
K8H8K7X7
IL
376K00000X
Nurse's Aide
Primary
401274470711
OH
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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