Most Relevant Information
Provider Data
| NPI Number: | 1003639253 |
| Provider Name: | MONIQUE D COPPRUE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/06/2024 |
| Last Updated: | 11/06/2024 |
Provider Practice Location
111 N COUNTY FARM RD
WHEATON
IL
601873977
Practice Location Phone/Fax
| Phone: | 6306827400 |
| Fax: |
Provider Mailing Location
111 N COUNTY FARM RD
WHEATON
IL
601873977
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |