Healthcare Provider Details

I. General information

NPI: 1982957163
Provider Name (Legal Business Name): INSIGHT ECHO INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2012
Last Update Date: 10/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3512 CHANCERY LN
CARPENTERSVILLE IL
60110-3467
US

IV. Provider business mailing address

3512 CHANCERY LN
CARPENTERSVILLE IL
60110-3467
US

V. Phone/Fax

Practice location:
  • Phone: 800-305-9240
  • Fax:
Mailing address:
  • Phone: 800-305-9240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT KOPALA
Title or Position: PRESIDENT
Credential: R.D.C.S.
Phone: 800-305-9240