Doctor by Design, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DOCTOR BY DESIGN, LLC

Practice address

6835 South Chappel Ave
Chicago, IL 60649

Phone

(773) 418-0860

Fax

(580) 200-3580

NPI assigned

Aug 20, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kortnee Roberson Cooper, MDNPI 1972731172

Title

Owner/Lead Physician

Phone

(773) 418-0860

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kortnee Y Roberson Cooper, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1972731172

  Family Medicine

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1689406399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 W TAYLOR ST # 2809",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074623",
            "telephone_number": "773-418-0860",
            "fax_number": "580-200-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6835 SOUTH CHAPPEL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60649",
            "telephone_number": "773-418-0860",
            "fax_number": "580-200-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR BY DESIGN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "ROBERSON COOPER",
        "authorized_official_first_name": "KORTNEE",
        "authorized_official_title_or_position": "OWNER/LEAD PHYSICIAN",
        "authorized_official_telephone_number": "773-418-0860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina M Dockery, LCSW
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• Kelsey Dockry
• Stephanie Lauren Dockser, AGPCNP
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• Thomas S Doctor, LCSW, CADC
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• Doctors Choice Inc

• All providers in Chicago, IL
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.