Individual
CARRIE L KOPALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1850 GATEWAY DR, SYCAMORE, IL 60178-3192
(815) 766-9901
(815) 758-7298
Mailing address
1850 GATEWAY DR, SYCAMORE, IL 60178-3192
(815) 766-9901
(815) 758-7298
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002659
IL
Other
Enumeration date
03/24/2006
Last updated
09/28/2021
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