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Individual

DR. JEAN MARIE TSCHAMPA LOPOTKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D, LCPC, CADC

Contact information

Practice address
311 MERTON AVE, GLEN ELLYN, IL 60137-5203
(630) 474-5935
Mailing address
311 MERTON AVE, GLEN ELLYN, IL 60137-5203
(630) 474-5935
(630) 545-3630

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
29530
IL
101YM0800X
Mental Health Counselor
Primary
180008781
IL
183500000X
Pharmacist
051034790
IL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
051034790
IL

Other

Enumeration date
05/03/2010
Last updated
05/11/2024
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