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General NPI Number Information
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NPI Number | 1548207855
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Entity Type | Individual
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Provider Name | CHERYL B KRAFF COOPER M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 08/16/2018
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Provider Practice Location Address
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Address Line | 3115 N HARLEM AVE SUITE 300
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City | CHICAGO
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State | IL
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Zip | 60634-4684
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Country | US
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Telephone | 773-777-4444
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Fax | 312-736-7873
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Provider Business Mailing Address
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Address Line | 25 E WASHINGTON ST STE 606
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City | CHICAGO
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State | IL
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Zip | 60602-1731
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Country | US
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Telephone | 773-777-4444
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Fax | 312-736-7873
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 036-068475
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License Number State | IL
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