Individual ProviderRichard CooperRadiologyAllopathic & Osteopathic PhysiciansPractice Address2160 S First Ave, Loyola University Medical Center 101-1740, Maywood, IL 60153(708) 216-9000PECOS EnrollmentBased on the most recent information from CMS, provider Richard Cooper does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1235116112Provider TypeIndividualFull NameCooper, RichardCredentialMDGenderMaleSole ProprietorNoEnumeration Date12/30/2005Last Updated9/21/2007Contact InformationPractice LocationPractice Address2160 S First Ave, Loyola University Medical Center 101-1740, Maywood, IL 60153Phone(708) 216-9000Fax(708) 216-9033Mailing LocationMailing Address2160 S First Ave, Loyola University Medical Center 101-1740, Maywood, IL 60153Phone(708) 216-9000Fax(708) 216-9033Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense36046444Illinois