Individual
JASON JOHN KOPINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6016 W 63RD ST, CHICAGO, IL 60638-4318
(773) 788-0180
(773) 788-0266
Mailing address
6016 W 63RD ST, CHICAGO, IL 60638-4318
(773) 788-0180
(773) 788-0266
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.290480
IL
Other
Enumeration date
11/11/2011
Last updated
11/11/2011
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