Individual
REBECCA L COPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
415 N 9TH ST, SUITE 6W100, SPRINGFIELD, IL 62702-5303
(217) 545-5117
(217) 545-4912
Mailing address
PO BOX 19640, SPRINGFIELD, IL 62794-9640
(217) 545-5117
(217) 545-4912
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164-005426
IL
Other
Enumeration date
03/02/2011
Last updated
03/29/2011
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