Individual provider · Type 1 NPI
Willie Coppage
Driver · Chicago, IL
NPI number
1689311557
Active
Practice location
5614 W Division St
Chicago, IL 60651-1159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | C12089993295 (IL) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1689311557
Willie Coppage's National Provider Identifier is 1689311557, issued on May 12, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Chicago, IL. The record was last updated on May 12, 2022.