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Barbara Irene Cooper, LPN

Licensed Practical Nurse in Peoria, IL. Individual provider (NPI-1).

NPI number1063081024
StatusActive
Last updated in NPPESJun 23, 2021

Details

NPI
1063081024
Entity type
Individual (NPI-1)
Name
Barbara Irene Cooper
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Jun 23, 2021
Certification date
Jun 23, 2021
Last updated
Jun 23, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse043119226ILYes

Practice location

6901 N Galena Rd
Peoria, IL 61614-3193

Phone 309-689-2108 · Fax 309-689-2285

Mailing address

6901 N Galena Rd
Peoria, IL 61614-3193

Phone 309-689-2108 · Fax 309-689-2285

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Licensed Practical Nurse providers in Peoria, IL

All 5 Licensed Practical Nurse providers in Peoria · All 5,546 providers in Peoria

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