David Kopacz, M.D. in Champaign - Adult Mental Health
David Kopacz, M.D. - NPI 1245403542
David Kopacz, M.D. is a Adult Mental Health in Champaign, Illinois. David Kopacz, M.D. practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for David Kopacz, M.D. is 1245403542. The last update date is 2008-04-08.
David Kopacz, M.D.'s current location address is 209 W University Ave, Champaign, Illinois. You can contact this provider via phone number 2173632891 and fax number 2173590322. The mailing address for David Kopacz, M.D. is 209 W University Ave, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | David Kopacz, M.D. |
|---|---|
| Address | 209 W University Ave, Champaign, Illinois |
| Phone Number | 2173632891 |
| Fax Number | 2173590322 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kopacz Raymond David |
| Credentials | M.D. |
| Telephone Number | 2173632891 |
NPI Number Detail
| NPI Number | 1245403542 |
|---|---|
| Provider Enumeration Date | 2008-04-08 |
| Last Updated Date | 2008-04-08 |
Provider Mailing Address Detail
| Address | 209 W University Ave |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 618203966 |
| Phone Number | 2173632891 |
| Fax Number | 2173590322 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Mental Health |
|---|---|
| Taxonomy | 261Qm0850X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
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What is the unique 10-digit identification code issued to David Kopacz, M.D. by the Centers for Medicare & Medicaid Services?
The David Kopacz, M.D. has been assigned the NPI (National Provider Identifier) 1245403542 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of David Kopacz, M.D.?
The David Kopacz, M.D. is situated at 209 W University Ave, in the city of Champaign, state of IL, with the zip code 618203966.
What is David Kopacz, M.D.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David Kopacz, M.D.'s specialized field of practice is Adult Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm0850X.
When did the David Kopacz, M.D. receive its 1245403542?
The David Kopacz, M.D. was issued its 1245403542 on 2008-04-08, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to David Kopacz, M.D. most recently updated or revised?
The information pertaining to David Kopacz, M.D., including its address, specialty, and other relevant details, was last updated or revised on 2008-04-08.