Individual
MS. KELLY KOPEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
833 S WOOD ST, CHICAGO, IL 60612-7229
(312) 996-2021
Mailing address
3322 N RACINE AVE, CHICAGO, IL 60657-3222
(773) 680-0345
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51040044
IL
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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