IndividualActive
Jacquelyn Cooper
NPI 1124667621 · Licensed Practical Nurse · Hillside, IL
Provider details
- NPI number
- 1124667621
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 043081911 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
230 N Lind Ave
Hillside, IL 60162-1538
Phone: (773) 587-0827
Approximate (ZIP-level) locationGet directions
Mailing address
230 N Lind Ave
Hillside, IL 60162-1538
Registry dates
- Enumerated
- 2019-12-31
- Last updated
- 2019-12-31
- Certified
- 2019-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.