MEDICARE: MR. AUSTIN R. HOPKINS

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
1	225700000X	Massage Therapist	227015338	IL

General Provider Information

NPI Number	:	1518303346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. AUSTIN R. HOPKINS

Provider Business Mailing Address
First Line	:	944 SANDPIPER CT
Second Line	:
City	:	BARTLETT
State	:	IL
Zip	:	60103-4849
Country	:	US
Telephone Number	:	630-333-5660
Fax Number	:

Provider Business Practice Location Address
First Line	:	944 SANDPIPER CT
Second Line	:
City	:	BARTLETT
State	:	IL
Zip	:	60103-4849
Country	:	US
Telephone Number	:	630-333-5660
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2013
Last Update Date	:	05/20/2013

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