Individual
BRIAN JOSEPH IACOPELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 W NORTH AVE, MELROSE PARK, IL 60160-1612
(708) 681-3200
Mailing address
1454 E NORTHWEST HWY, ARLINGTON HEIGHTS, IL 60004-6734
(219) 677-1472
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209020768
IL
Other
Enumeration date
01/02/2020
Last updated
07/10/2020
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