Individual
KRISTIN MARIE SOPALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
835 N WOOD ST, 104, CHICAGO, IL 60622-5022
(630) 677-2698
(312) 327-9984
Mailing address
835 N WOOD ST, 104, CHICAGO, IL 60622-5022
(312) 829-4007
(312) 829-4055
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/28/2007
Last updated
01/03/2008
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