Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KASSANDRA IVA MARIE COOPER, D.O.
Active Sole ProprietorKASSANDRA IVA MARIE COOPER, D.O. is a Emergency Medicine healthcare provider located in PEORIA, Illinois. NPI 1710393913 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · PEORIA, IL
Registration Details
- NPI Number
- 1710393913
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 8, 2014 (12.08657971253 yrs)
- Last Updated
- Nov 14, 2024
- Licenses
-
20A15660 (CA)125065930 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
530 NE GLEN OAK AVEPEORIA, IL, 616370001Browse IL providers · Browse ZIP 61637
- Phone
- 3096556710
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. UTE PROHASKA | M.D. | 1841277126 |
| RICHARD F. SCHOCK | MD | 1326010265 |
| ANDREW T HARRIS | M.D. | 1447222146 |
| MARIO MIRANDA | DO | 1376505420 |
| TONYA VINING | MD | 1114989027 |
| ELSBURGH CLARKE JR. | MD | 1689637217 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.