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JACQUELYN COOPER
NPI 1124667621
Licensed Practical Nurse in Hillside, IL

Active since December 31, 2019
230 N LIND AVE, HILLSIDE, IL 60162(773) 587-0827 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacquelyn Cooper NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN COOPER (NPI 1124667621) is an individual licensed practical nurse in Hillside, Illinois, licensed in Illinois (043081911) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1124667621
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJACQUELYN COOPER
Location Address230 N LIND AVEHillside, IL 60162-1538
Mailing Address230 N Lind AveHillside, IL 60162-1538 · (773) 587-0827
Phone(773) 587-0827
Sole ProprietorNo
Enumeration DateDecember 31, 2019
✔ NPI 1124667621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in IL · 043081911
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
230 N LIND AVE, Hillside, IL 60162
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Other Identifiers 1

Medicaid043081911IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Cooper's NPI number?

The NPI number for Jacquelyn Cooper is 1124667621. It was assigned to this individual provider in the NPPES registry on December 31, 2019.

Where is Jacquelyn Cooper located?

Jacquelyn Cooper practices at 230 N Lind Ave, Hillside, IL 60162. The listed phone number is (773) 587-0827.

What is Jacquelyn Cooper's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Cooper was last updated on December 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.