Healthcare Provider Details

I. General information

NPI: 1629003165
Provider Name (Legal Business Name): COPLEY MEMORIAL HOSPITAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 01/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 OGDEN AVE SUTIE 330
AURORA IL
60504-5894
US

IV. Provider business mailing address

2020 OGDEN AVE SUTIE 330
AURORA IL
60504-5894
US

V. Phone/Fax

Practice location:
  • Phone: 630-978-4580
  • Fax: 630-978-6865
Mailing address:
  • Phone: 630-978-4580
  • Fax: 630-978-6865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BARRY FINN
Title or Position: CEO/PRESIDENT
Credential:
Phone: 630-978-6200