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Contact Information

CRYSTAL W COOPER, PA-C
9650 GROSS POINT RD STE 3900
SKOKIE, IL60076-5085
 Phone: 847-570-1700
 Fax: 847-982-1098
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CRYSTAL W COOPER · (Female)

NPI Number 1740610856
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/26/2013
Last updated 03/31/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 085004955
  • IL Other 1633878 BCBS IL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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