Individual
MADISON KOPJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, OTC
Contact information
Practice address
27650 FERRY RD, WARRENVILLE, IL 60555-3845
(630) 225-2663
Mailing address
865 BENEDETTI DR APT 20-207, NAPERVILLE, IL 60563-3466
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2017
Last updated
04/04/2024
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