Kopytko, Edwin Edward

Kopytko, Edwin Edward is an individual health care provider with primary practice located at Fifth Avenue And Roosevelt Road , Hines IL 60141. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Kopytko, Edwin Edward can be contacted via phone (708) 202-8387.

Contact Information

Primary practice address
Fifth Avenue And Roosevelt Road Hines IL 60141
Phone: (708) 202-8387
Fax: (708) 202-4572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X Illinois

Profile Details

NPI number 1518974633
LBN Legal business name Kopytko, Edwin Edward
Credentials MS, RN, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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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