| April Kopp Lcsw Pllc | |
|
4707 N Broadway St Ste 200 Chicago IL 60640-4999 | |
| (708) 620-0354 | |
| Not Available |
| Full Name | April Kopp Lcsw Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4707 N Broadway St Ste 200, Chicago, Illinois |
| Authorized Official Name and Position | April Kopp (OWNER) |
| Authorized Official Contact | 7086200354 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| April Kopp Lcsw Pllc 3720 N Kedvale Ave Apt 2 Chicago IL 60641-3127 Ph: (708) 620-0354 | April Kopp Lcsw Pllc 4707 N Broadway St Ste 200 Chicago IL 60640-4999 Ph: (708) 620-0354 |
| NPI Number | 1699246629 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 11/03/2022 |
| Certification Date | 11/03/2022 |
| Medicare PECOS PAC ID | 8123498623 |
|---|---|
| Medicare Enrollment ID | O20231004003483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699246629 | NPI | - | NPPES |
| 1073883294 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | April L Kopp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073883294 PECOS PAC ID: 8921453358 Enrollment ID: I20231004003539 |
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