SearchIllinois103TC1900X

Julie Kopf

NPI 1790392439 · on the registry since 2020 · sole proprietor

Practice

Address
1301 S Prospect Ave
Park Ridge, IL 60068
Phone
(773) 592-9866

Registry record

Primary taxonomy
103TC1900X
103TC1900X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-09-27

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