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NPI Code Detail

MEDICARE: APRIL KOPP LCSW

MEDICARE: APRIL KOPP LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker149015071IL

General Provider Information

NPI Number : 1073883294
Entity Type Code : Individual
Provider Name (Legal Business Name) : APRIL KOPP LCSW
Provider Business Mailing Address
First Line : 5441 N CHRISTIANA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-4603
Country : US
Telephone Number : 708-620-0354
Fax Number :
Provider Business Practice Location Address
First Line : 4707 N BROADWAY ST STE 200
Second Line :
City : CHICAGO
State : IL
Zip : 60640-4999
Country : US
Telephone Number : 708-620-0354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2012
Last Update Date : 06/28/2023

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Directions to “ APRIL KOPP LCSW” Practice Location

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