Individual provider Active NPI

Elizabeth Joanne Copper

  • Case Manager/Care Coordinator
  • Plainfield, IL
National Provider Identifier
1003054818
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
2239933 Issued in IL
Practice address
11351 S Belmont Dr
Plainfield, IL 60585-6136
Phone
(630) 805-0368
Fax
(630) 257-2057
NPI assigned
Feb 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 2239933 IL Primary

Addresses

Primary practice location

11351 S Belmont Dr
Plainfield, IL 60585-6136

Mailing address

11351 S Belmont Dr
Plainfield, IL 60585-6136
Phone (630) 805-0368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2239933ILMDCase Manager/Care Coordinator

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1003054818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11351 S BELMONT DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605856136",
            "telephone_number": "630-805-0368",
            "fax_number": "630-257-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11351 S BELMONT DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605856136",
            "telephone_number": "630-805-0368",
            "fax_number": "630-257-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPER",
        "first_name": "ELIZABETH",
        "middle_name": "JOANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "IL",
            "license": "2239933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.