NPI Profile for HANA D KOPPEL in EVANSTON, IL.
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 |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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HANA D KOPPEL
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