Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124667621 Individual Practitioner Female Practitioner

Jacquelyn Cooper

Licensed Practical Nurse • Hillside, IL

Professional Overview & Biography Verified Profile Summary

Jacquelyn Cooper is a registered healthcare professional specializing in Licensed Practical Nurse in Hillside, IL. Practice services are available at 230 N LIND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

230 N Lind Ave

Hillside, IL 601621538

Telephone 7735870827

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Hillside, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Hillside, IL (906 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2019-12-31
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IL 043081911

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
043081911 (IL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 31, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 31, 2019

Registered at 230 N LIND AVE, HILLSIDE, IL 601621538 (Tel: 7735870827)

📍
Updated Business Mailing Address December 31, 2019

Registered at 230 N LIND AVE, HILLSIDE, IL 601621538 (Tel: 7735870827)

👤
Provider Name / Credentials Updated December 31, 2019

Recorded as JACQUELYN COOPER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2019

Licensed Practical Nurse (License #043081911 in IL)

🟢
Initial NPI Registration & Enumeration December 31, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124667621
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 31, 2019
Last Update: December 31, 2019
Sole Proprietor: No

Mailing Address

230 N Lind Ave

Hillside, IL 601621538

Phone: 7735870827

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.