Cooper, Crystal Wesockes
Cooper, Crystal Wesockes is an individual health care provider with primary practice located at 9650 Gross Point Rd Ste 3900 , Skokie IL 60076-5085. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Plastic Surgery. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Cooper, Crystal Wesockes can be contacted via phone (847) 570-1700.Contact Information
Primary practice address
9650 Gross Point Rd Ste 3900
Skokie IL 60076-5085
Phone: (847) 570-1700
Fax: (847) 982-1098
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 085004955 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085004955 | Illinois |
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 085004955 | Illinois |
Profile Details
NPI number | 1740610856 |
---|---|
LBN Legal business name | Cooper, Crystal Wesockes |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 26th, 2013 |
Last updated | Mar 14th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740610856 | NPPES |
Illinois | Other | 1633878 | BCBS IL |
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