Individual
KATHLEEN COPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17709 S FOXBORO LN, HOMER GLEN, IL 60491-5857
(815) 258-3964
Mailing address
17709 S FOXBORO LN, HOMER GLEN, IL 60491-5857
(815) 258-3964
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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