Individual
KORTNEE Y ROBERSON COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4009 N BROADWAY ST, CHICAGO, IL 60613-2110
(773) 275-2586
Mailing address
6835 S CHAPPEL AVE STE 4, CHICAGO, IL 60649-1606
(312) 631-5100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036130304
IL
Other
Enumeration date
06/25/2009
Last updated
09/27/2024
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