Individual
DR. JUSTIN LEE SCOPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26W171 ROOSEVELT RD, WHEATON, IL 60187-6078
(630) 909-7290
Mailing address
2288 HIGH POINT DR, LINDENHURST, IL 60046-8839
(847) 668-9114
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
125055484
IL
390200000X
Student in an Organized Health Care Education/Training Program
4301090008
MI
Other
Enumeration date
06/04/2007
Last updated
10/21/2008
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