Individual
MOLLIE A KOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1127 N OAKLEY BLVD FL 3, CHICAGO, IL 60622-3507
(312) 770-2317
Mailing address
1127 N OAKLEY BLVD FL 3, CHICAGO, IL 60622-3507
(312) 770-2317
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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