| Doctor Name: | ROBERT KOPALA |
| NPI Number: | 1750480281 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.D.C.S |
| License Number: | |
| Business Practice Address: | 3512 Chancery Ln Carpentersville, IL - 601103467 |
| Business Phone Number: | 8478633280 |
| Business Fax Number: | 4802753199 |
| Mailing Address: | 3512 Chancery Ln, CARPENTERSVILLE |
| State: | IL |
| Postal Code: | 601103467 |
| Phone Number: | 8478633280 |
| Fax Number: | 4802753199 |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 10/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471S1302X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |