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General NPI Number Information
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NPI Number | 1801757760
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Entity Type | Organization
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Legal Business Name | COOPER PSYCHIATRIC CARE PLUS, PLLC
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 4922 W CHICAGO AVE
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City | CHICAGO
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State | IL
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Zip | 60651-3142
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Country | US
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Telephone | 773-241-9874
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Fax | 877-317-4429
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Provider Business Mailing Address
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Address Line | 7042 S INDIANA AVE
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City | CHICAGO
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State | IL
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Zip | 60637-4510
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Country | US
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Telephone | 773-241-9874
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Fax | 877-317-4429
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER COOPER
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Credential | PMHNP-BC
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Telephone | 773-241-9874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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