Individual ProviderDiane L KopanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1731 N Marcey Street, Suite 535 Terry Hefter Assoc Llc, Chicago, IL 60614(312) 280-1166PECOS EnrollmentBased on the most recent information from CMS, provider Diane L Kopan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1922185040Provider TypeIndividualFull NameKopan, Diane LTitleMs.CredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date11/1/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1731 N Marcey Street, Suite 535 Terry Hefter Assoc Llc, Chicago, IL 60614Phone(312) 280-1166Fax(312) 280-1199Mailing LocationMailing Address1731 N Marcey Street, Suite 535 Terry Hefter Assoc Llc, Chicago, IL 60614Phone(312) 280-1166Fax(312) 280-1166Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerIllinois