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NPI Code Detail

MEDICARE: DR. JENNIFER M HOSSO-COOPER DO

MEDICARE: DR. JENNIFER M HOSSO-COOPER DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician036100719IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801820691
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER M HOSSO-COOPER DO
Provider Business Mailing Address
First Line : 4301 W 95TH STREET
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-2670
Country : US
Telephone Number : 708-425-5500
Fax Number : 708-425-0771
Provider Business Practice Location Address
First Line : 4301 W 95TH STREET
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-2670
Country : US
Telephone Number : 708-425-5500
Fax Number : 708-425-0771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 12/28/2021

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