Provider Demographics
NPI:1659141844
Name:JAMES P POPP LTD
Entity Type:Organization
Organization Name:JAMES P POPP LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KOWALCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:708-280-6538
Mailing Address - Street 1:1519 N DRYDEN AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-4031
Mailing Address - Country:US
Mailing Address - Phone:708-280-6538
Mailing Address - Fax:847-705-6444
Practice Address - Street 1:1 E NORTHWEST HWY STE 212
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-1700
Practice Address - Country:US
Practice Address - Phone:708-280-6538
Practice Address - Fax:847-705-6444
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAMES P POPP LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty