Individual
MISS FAYE MARIA KOPPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
4314 W CRYSTAL LAKE RD, SUITE D, MCHENRY, IL 60050-4211
(815) 344-2300
(815) 344-2334
Mailing address
4314 W CRYSTAL LAKE RD, SUITE D, MCHENRY, IL 60050-4211
(815) 344-2300
(815) 344-2334
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
309002005
IL
Other
Enumeration date
03/22/2007
Last updated
01/24/2011
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