Individual
DR. CATHERINE J KOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
610 S. MAPLE, SUITE 4600, OAK PARK, IL 60304
(708) 660-2240
(708) 660-2243
Mailing address
610 S. MAPLE, SUITE 4600, OAK PARK, IL 60304
(708) 660-2240
(708) 660-2243
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-096959
IL
207R00000X
Internal Medicine Physician
036096959
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096959
—
IL
Enumeration date
05/01/2006
Last updated
07/21/2022
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