Kopelman, Clark

Kopelman, Clark is an sole proprietor health care provider with primary practice located at 1590 S Milwaukee Ave , Libertyville IL 60048-3793. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Kopelman, Clark can be contacted via phone (319) 331-7314.

Contact Information

Primary practice address
1590 S Milwaukee Ave Libertyville IL 60048-3793
Phone: (319) 331-7314
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 1149310 Illinois

Profile Details

NPI number 1518708981
LBN Legal business name Kopelman, Clark
Credentials MSW, ED.S., PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2024
Last updated Jun 1st, 2024 - about 2 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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