Individual
MRS. RACHEL COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
812 N LOGAN AVE, DANVILLE, IL 61832-3752
(217) 443-5000
Mailing address
2401 WINDWARD BLVD UNIT 106, CHAMPAIGN, IL 61821-6956
(708) 297-5902
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164008122
IL
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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