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Contact Information

CATHERINE M BOPP, PAC
1340 CHARLES ST STE 100
ROCKFORD, IL61104-2200
 Phone: 779-696-8700
 Fax: 779-696-8745
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CATHERINE M BOPP · (Female)

NPI # 1598310849
Status Active
Credentials PAC
Entity Individual
Enumeration date 08/05/2019
Last updated 10/18/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085-007148
  • WI License # 7305
  • WI Medicaid 100247750
Hospital affiliation(s)
  • SWEDISH AMERICAN HOSPITAL - (Acute Care)
    1401 EAST STATE STREET
    ROCKFORD, IL 61104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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