Organization
JAMES KOOP MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES F KOOP M.D. (MEMBER)
(708) 450-5070
Entity
Organization
Contact information
Practice address
675 W NORTH AVE, SUITE 409, MELROSE PARK, IL 60160-1634
(708) 450-5070
(708) 450-5078
Mailing address
675 W NORTH AVE, SUITE 409, MELROSE PARK, IL 60160-1634
(708) 450-5070
(708) 450-5078
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036086979
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086979
—
IL
Enumeration date
01/31/2011
Last updated
01/31/2011
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