Copeland, Ebony R

Copeland, Ebony R is an individual health care provider with primary practice located at 836 W Wellington Ave , Chicago IL 60657-5147. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Copeland, Ebony R can be contacted via phone (773) 296-8250.

Contact Information

Primary practice address
836 W Wellington Ave Chicago IL 60657-5147
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 275661 New York

Profile Details

NPI number 1548404031
LBN Legal business name Copeland, Ebony R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2009
Last updated Aug 13th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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