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Individual

IRENE COPAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
Mailing address
4755 E 105TH CT, CROWN POINT, IN 46307-7625
(219) 308-1440

Taxonomy

Speciality
Code
Description
License number
State
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
Primary
209013181
IL

Other

Enumeration date
04/04/2018
Last updated
04/04/2018
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