Individual
FABIOLLA SIQUEIRA KOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 N MICHIGAN AVE STE 506, CHICAGO, IL 60602-3837
(773) 312-4423
(773) 312-4522
Mailing address
30 N MICHIGAN AVE STE 506, CHICAGO, IL 60602-3837
(773) 312-4423
(773) 312-4522
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036147419
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
Q5683
TX
Other
Enumeration date
02/11/2009
Last updated
12/03/2025
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