JACQUELYN COOPER (NPI# 1124667621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124667621 |
| Entity Type | Individual |
| Full Name | JACQUELYN COOPER |
| Practice Address |
230 N Lind Ave Hillside IL 60162-1538 |
| Practice Telephone | 7735870827 |
| Mailing Telephone | 7735870827 |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 043081911 | IL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 043081911 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225522097 | Jacquelyn Marie Cooper | Social Worker | 905 Nebraska Ave, Toledo, OH 43607-4222 | 2018-06-15 |
| 1649460247 | Jacquelyn Marie Cooper | Hearing Instrument Specialist | 9665 Fm 1960 Bypass Rd W, Humble, TX 77338-4043 | 2007-07-30 |
| 1558570507 | Jacquelyn Cooper | Social Worker | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2007-05-22 |
| Street Address |
230 N LIND AVE |
| City | HILLSIDE |
| State | IL |
| Zip Code | 60162-1538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508345216 | Oakwood Medical Services Inc | Durable Medical Equipment & Medical Supplies | 4747 Charles St, Hillside, IL 60162 | 2018-08-13 |
| 1316187453 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 120 S Mannheim Road, H01, Hillside, IL 60162 | 2009-03-03 |
| 1679729891 | Daniel J. Desalvo | Dentist | 321 N. Hillside Ave, Hillside, IL 60162 | 2008-08-08 |
| 1124163332 | Aspire of Illinois | Occupational Therapist | 1815 S Wolf Rd, Hillside, IL 60162 | 2007-02-21 |
| 1558409243 | Sayeeda Yasmin | Internal Medicine | Renaissance At Hillside, Hillside, IL 60162 | 2007-02-02 |
| 1114088226 | Health Options of Il, Inc | Case Management | 4415 W. Harrison Street, 300, Hillside, IL 60162 | 2006-12-12 |
| 1699860213 | Hinsdale Physicians Healthcare Association, Inc. | Health Maintenance Organization | 4415 West Harrison Street, Suite 300, Hillside, IL 60162 | 2006-10-03 |
| 1467477059 | Magdoleen Nessim | Internal Medicine | 4413 W Roosvelt Rd, 101, Hillside, IL 60162 | 2006-07-13 |
| 1174030381 | Kristian Shumate | Occupational Therapist | 1815 S Wolf Rd, Hillside, IL 60162 | 2018-01-09 |
| 1710374988 | Kimberly Charo | Registered Nurse | 5024 W Hawthorne Ave, Hillside, IL 60162-1010 | 2015-04-24 |
| Find all providers in zip 60162 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual 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. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366827156 | Berty Ati | Licensed Practical Nurse | 571 Chapman St, Hillside, NJ 07205-1722 | 2015-07-22 |
| 1043594757 | Emmanuel Igho | Licensed Practical Nurse | 1045 Thomas St, Hillside, NJ 07205-2520 | 2011-09-30 |
| 1942593009 | Martine Garcon | Licensed Practical Nurse | 229 Conklin Ave, Hillside, NJ 07205-1423 | 2011-05-24 |
| 1376728774 | Carolyn Dick | Licensed Practical Nurse | 320 Hillside Ave, Hillside, NJ 07205-1324 | 2008-01-03 |
| 1811179377 | Dorothy M Cajuste-leger | Licensed Practical Nurse | 574 Purce St, Hillside, NJ 07205-1743 | 2007-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330233 | Candace D Younger | Licensed Practical Nurse | 507 Lickliter St, Benton, IL 62812-2219 | 2020-09-15 |
| 1063025781 | Austin Grant | Licensed Practical Nurse | 205 Joplin St, Benton, IL 62812-2023 | 2020-08-24 |
| 1518570233 | Titilayo Ayeni-sode | Licensed Practical Nurse | 23025 Amber Ln, Richton Park, IL 60471-1281 | 2020-08-24 |
| 1477164929 | Monique L Lee | Licensed Practical Nurse | 8528 S Exchange Ave # 2, Chicago, IL 60617-2541 | 2020-08-10 |
| 1619597291 | Robin Wilson | Licensed Practical Nurse | 842 S 18th Ave, Maywood, IL 60153-1706 | 2020-04-23 |
| 1790319630 | Krystle Ekhoff | Licensed Practical Nurse | 9108 S Troy Ave, Evergreen Park, IL 60805-1628 | 2020-03-01 |
| 1932732237 | Robina Renee Williams | Licensed Practical Nurse | 16313 Turner Ave, Markham, IL 60428-5446 | 2020-02-15 |
| 1417589649 | Lataunja Parese Weaver | Licensed Practical Nurse | 7436 S Ellis Ave, Chicago, IL 60619-2032 | 2020-02-05 |
| 1699312587 | Kristi Ann Pittman-spero | Licensed Practical Nurse | 101 N Jefferson Ave, Bradley, IL 60915-1829 | 2019-12-10 |
| 1851935746 | Joseph Donkor | Licensed Practical Nurse | 539 Jordan Way, Bolingbrook, IL 60440-1376 | 2019-11-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.