Individual
SEAN W.P. KOPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 S WOOD ST, CLINICAL SCIENCES BUILDING (CSB), MC/716, CHICAGO, IL 60612-4325
(312) 355-3558
(312) 413-2844
Mailing address
840 S WOOD ST, CLINICAL SCIENCES BUILDING (CSB), MC/716, CHICAGO, IL 60612-4325
(312) 355-3558
(312) 413-2844
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36111498
IL
207RG0100X
Gastroenterology Physician
036111498
IL
207RI0008X
Hepatology Physician
Primary
036111498
IL
207RT0003X
Transplant Hepatology Physician
036111498
IL
Other
Enumeration date
07/21/2006
Last updated
12/29/2014
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