Willie Coppage
NPI 1689311557 · on the registry since 2022 · sole proprietor
Practice
- Address
- 5614 W Division St
Chicago, IL 60651 - Phone
- (773) 987-1378
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois