RAPHAEL COPELAND

WESTCHESTER, IL
NPI1437578622
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: IL  160006704)
Enumeration Date2014-04-15
Last Update Date2014-04-15
Business Address
-- RAPHAEL COPELAND PTA
10001 DERBY LN SUITE 208
WESTCHESTER, IL 60154-3749
Phone number: 708-681-2991
Mailing Address
-- RAPHAEL COPELAND PTA
10233 W ROOSEVELT RD
WESTCHESTER, IL 60154-2518
Phone number: 708-938-5238