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Contact Information

HANA D KOPPEL, PA-C
2650 RIDGE AVE
EVANSTON, IL60201-1700
 Phone: 847-570-2868
 Fax: 847-733-5005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for HANA D KOPPEL · (Female)

NPI Number 1912759275
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/02/2024
Last updated 07/09/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 085.010427
  • IL License # 085010427
Hospital affiliation(s) Not Available
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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