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NPI Code Detail

MEDICARE: ALYSSA KOPEC

MEDICARE: ALYSSA KOPEC
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
1363A00000XPhysician Assistant085-011847IL

General Provider Information

NPI Number : 1598629628
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA KOPEC
Provider Business Mailing Address
First Line : 900 RAND RD STE 300
Second Line :
City : DES PLAINES
State : IL
Zip : 60016-2359
Country : US
Telephone Number : 847-324-3976
Fax Number : 847-929-1154
Provider Business Practice Location Address
First Line : 1010 EXECUTIVE DR STE 250
Second Line :
City : WESTMONT
State : IL
Zip : 60559-6137
Country : US
Telephone Number : 630-323-6116
Fax Number : 630-323-5610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “ ALYSSA KOPEC ” Practice Location

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