Cooper, Tracy L

Cooper, Tracy L is an sole proprietor health care provider with primary practice located at 2139 W Barry Ave Basement, Chicago IL 60618-8138. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cooper, Tracy L can be contacted via phone (773) 991-6187.

Contact Information

Primary practice address
2139 W Barry Ave Basement Chicago IL 60618-8138
Phone: (773) 991-6187
Fax: (855) 222-5962
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 149.011267 Illinois
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 149.011267 Illinois
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 149.011267 Illinois
Agencies / Community/Behavioral Health 251S00000X 149.011267 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.011267 Illinois

Profile Details

NPI number 1801876552
LBN Legal business name Cooper, Tracy L
Credentials MSW, LCSW, EI-IMH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2006
Last updated May 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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