| David Kopacz, M.d. | |
|
209 W University Ave Suite 101 Champaign IL 61820-3966 | |
| (217) 363-2891 | |
| (217) 359-0322 |
| Full Name | David Kopacz, M.d. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 209 W University Ave, Champaign, Illinois |
| Authorized Official Name and Position | David Raymond Kopacz (OWNER) |
| Authorized Official Contact | 2173632891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Kopacz, M.d. 209 W University Ave Suite 101 Champaign IL 61820-3966 Ph: (217) 363-2891 | David Kopacz, M.d. 209 W University Ave Suite 101 Champaign IL 61820-3966 Ph: (217) 363-2891 |
| NPI Number | 1245403542 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245403542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (Illinois) | Primary |
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