Willie Coppage is a Driver based in Chicago, IL. Willie Coppage practices in Chicago, IL. The NPI Number for Willie Coppage is 1689311557 and holds a License No. C12089993295 (Illinois).
The current practice location address for Willie Coppage is 5614 W Division St, Chicago, IL and can be reached out via phone at 773-987-1378.
Location: 5614 W Division St, Chicago, IL, 60651-1159
Provider Profile Details
NPI Number
1689311557
Provider Name
Willie Coppage
Credential
Provider Entity Type
Individual
Gender
Male
Address
5614 W Division St, Chicago, IL, 60651-1159
Phone Number
773-987-1378
Fax Number
Provider Enumeration Date
05/12/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
5614 W Division St
City
State
Zip
60651-1159
Phone Number
773-987-1378
Fax Number
Provider Business Mailing Address Details
Address
5614 W Division St
City
State
Zip
60651-1159
Phone Number
773-987-1378
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
C12089993295 (Illinois)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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