Most Relevant Information
Provider Data
| NPI Number: | 1003054818 |
| Provider Name: | ELIZABETH JOANNE COPPER |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: | 2239933 |
Most Important Dates
| Enumeration Date: | 02/02/2009 |
| Last Updated: | 02/02/2009 |
Provider Practice Location
11351 S BELMONT DR
PLAINFIELD
IL
605856136
Practice Location Phone/Fax
| Phone: | 6308050368 |
| Fax: | 6302572057 |
Provider Mailing Location
11351 S BELMONT DR
PLAINFIELD
IL
605856136
Provider Mailing Phone/Fax
| Phone: | 6308050368 |
| Fax: | 6302572057 |