Healthcare Provider Details

I. General information

NPI: 1407561632
Provider Name (Legal Business Name): MS. COURTNEY HOPKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 01/23/2023
Certification Date: 01/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2735 HASSERT BLVD STE 135
NAPERVILLE IL
60564-5205
US

IV. Provider business mailing address

109 MUNROE ST
JOLIET IL
60436-2248
US

V. Phone/Fax

Practice location:
  • Phone: 470-845-8005
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: