Individual
MR. WILLIAM J COLLOPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-7482
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209010810
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209-010810
IL
Other
Enumeration date
11/04/2013
Last updated
12/28/2023
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