Individual
DANIEL J COPPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
522 MAIN ST, EVANSTON, IL 60202
(847) 475-1630
(847) 475-1631
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PENDING
IL
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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