Individual
MS. EVON KOPITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5TH AVENUE AND ROOSEVELT ROAD, ATTN: EYE CLINIC A116L, HINES, IL 60141
(708) 202-2061
Mailing address
875 E 22ND ST APT 412, LOMBARD, IL 60148-5026
(630) 953-9053
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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