Cooper, Trae

Cooper, Trae is an individual health care provider with primary practice located at 5540 W 111Th St Ste 1 , Oak Lawn IL 60453-5575. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Cooper, Trae can be contacted via phone (708) 634-0821.

Contact Information

Primary practice address
5540 W 111Th St Ste 1 Oak Lawn IL 60453-5575
Phone: (708) 634-0821
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1265282081
LBN Legal business name Cooper, Trae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2024
Last updated Mar 25th, 2024 - about 2 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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