# JAMES KOOP MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790081206
- **Authorized official:** DR. JAMES F KOOP M.D. (MEMBER)
- **Authorized official phone:** (708) 450-5070

## Contact information

- **Practice address:** 675 W NORTH AVE, SUITE 409, MELROSE PARK, IL 60160-1634
- **Practice address phone:** (708) 450-5070
- **Practice address fax:** (708) 450-5078
- **Mailing address:** 675 W NORTH AVE, SUITE 409, MELROSE PARK, IL 60160-1634
- **Mailing address phone:** (708) 450-5070
- **Mailing address fax:** (708) 450-5078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036086979 | IL | Yes |

## Other

- **Enumeration date:** 01/31/2011
- **Last updated:** 01/31/2011