COPRO CLINICAL CONCEPTS PC NPI 1689981201

NPI Information

NPI: 1689981201
Provider Name: COPRO CLINICAL CONCEPTS, PC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4003 N BROADWAY ST
CHICAGO, IL
ZIP 60613
Phone: (847) 529-8607
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COPRO CLINICAL CONCEPTS, PC is a mental health counselor in Chicago, IL. COPRO CLINICAL CONCEPTS, PC NPI is 1689981201. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4003 N BROADWAY ST
CHICAGO, IL
ZIP 60613-110
Phone: (847) 529-8607

The provider's authorized official is Costa D. Provis .
The authorized official title is President and has the following contact phone number (847) 529-8607.

The enumeration date for this NPI number is 9/2/2010 and was last updated on 9/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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