Individual
CHRISTA SUZANNE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
259 E ERIE ST STE 1900, CHICAGO, IL 60611-3246
(312) 695-7950
(312) 695-5747
Mailing address
259 E ERIE ST STE 1900, CHICAGO, IL 60611-3246
(312) 695-7950
(312) 695-5747
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004432
IL
363AM0700X
Medical Physician Assistant
085004432
IL
Other
Enumeration date
09/25/2012
Last updated
07/22/2024
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