MARK COPERTINO (NPI# 1790141232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790141232 |
| Entity Type | Individual |
| Full Name | MARK COPERTINO |
| Credential | MS, LCPC |
| Practice Address |
526 Crescent Blvd Suite 229 Glen Ellyn IL 60137-4176 |
| Practice Telephone | 6304409013 |
| Mailing Telephone | 6304409013 |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.009951 | IL | Behavioral Health & Social Service Providers |
| Street Address |
526 CRESCENT BLVD SUITE 229 |
| City | GLEN ELLYN |
| State | IL |
| Zip Code | 60137-4176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982875340 | John T. Zaffer | Dentist | 526 Crescent Blvd, Suite 224, Glen Ellyn, IL 60137-4176 | 2008-03-13 |
| 1174989552 | Copertino Counseling Inc | Clinic/Center | 526 Crescent Blvd, Glen Ellyn, IL 60137-4176 | 2016-01-14 |
| 1225477805 | Shauna E Demara | Acupuncturist | 526 Crescent Blvd, Suite213, Glen Ellyn, IL 60137-4176 | 2013-06-18 |
| 1225301930 | Cynthia Koskiewicz | Counselor | 526 Crescent Blvd, Suite 324, Glen Ellyn, IL 60137-4176 | 2012-02-13 |
| 1225275167 | Julie Francis | Specialist | 526 Crescent Blvd, Suite 202, Glen Ellyn, IL 60137-4176 | 2009-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| 1285234930 | Arti Rai | Pharmacist | 3s100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1427658103 | Dimple Zaveri | Pharmacist | 3s 100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1669025367 | Christine Marie Penway | Physical Therapist | 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137 | 2019-07-22 |
| 1730652314 | Camille Elizabeth Hawkins | Counselor | 22 W 66 Hackberry, Glen Ellyn, IL 60137 | 2019-01-07 |
| 1710454939 | Jacquelyn Rose Wescott | Student in an Organized Health Care Education/Training Program | 178 Macintosh Ct., Glen Ellyn, IL 60137 | 2018-10-25 |
| 1184133985 | Young Men's Christian Association of Northwestern Du Page County | Health Educator | 49 Deicke Drive, Glen Ellyn, IL 60137 | 2017-09-25 |
| 1447781208 | Neoly Home Care LLC | In Home Supportive Care | N 455 Main Street, Glen Ellyn, IL 60137 | 2017-03-23 |
| 1205283397 | Dianna Christina Ciardullo | Pharmacist | 599 E Roosevelt Road, Glen Ellyn, IL 60137 | 2016-05-18 |
| Find all providers in zip 60137 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528620309 | Brighter Vista Counseling | Counselor | 478 Pennsylvania Ave Ste 201, Glen Ellyn, IL 60137-4425 | 2019-07-02 |
| 1780175018 | Sonja Melton | Counselor | 100 Newton Ave, Glen Ellyn, IL 60137-5672 | 2018-05-22 |
| 1851893945 | Angela Cleary | Counselor | 526 Crescent Blvd Ste 322, Glen Ellyn, IL 60137-4181 | 2018-03-05 |
| 1780192724 | Kimberly M Antos-hogan | Counselor | 21w675 Dorchester Ct, Glen Ellyn, IL 60137-6411 | 2018-01-11 |
| 1710491162 | April Abesamis Knighton | Counselor | 603 N Park Blvd, Glen Ellyn, IL 60137-4116 | 2017-11-21 |
| 1861809956 | David James Arute | Counselor | 499 Anthony St, Glen Ellyn, IL 60137-4419 | 2014-07-21 |
| 1508022633 | Gerard Dobkowski | Counselor | 799 Roosevelt Rd. Bldg. 4, Suite 316, Glen Ellyn, IL 60137 | 2008-07-29 |
| 1619172244 | Erik Sean Youngstedt | Counselor | 346 Taft Ave Ste 030, Glen Ellyn, IL 60137-6296 | 2007-06-14 |
| 1881802213 | Stephen Martz | Counselor | 947 Oxford Rd, Glen Ellyn, IL 60137-4813 | 2007-05-18 |
| 1053527242 | Carole S. Logalbo | Counselor | 493 Forest Ave, Glen Ellyn, IL 60137-4104 | 2007-05-15 |
| Find all providers in GLEN ELLYN | ||||
| City | GLEN ELLYN |
| Zip Code | 60137 |
Please comment or provide details below to improve the information on MARK COPERTINO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.