| Doctor Name: | BARBARA C KOPCHAK |
| NPI Number: | 1235126269 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 209003790 |
| Business Practice Address: | 6438 Joliet Rd Countryside, IL - 605254685 |
| Business Phone Number: | 7083525222 |
| Business Fax Number: | 7083525285 |
| Mailing Address: | 6438 Joliet Rd, COUNTRYSIDE |
| State: | IL |
| Postal Code: | 605254685 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/04/2005 |
| NPI Last Update Date: | 11/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 209003790 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |