Individual
MISS HEATHER DOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-2868
Mailing address
4124 N KEDVALE AVE, APT 200, CHICAGO, IL 60641-0029
(517) 262-3370
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085003710
IL
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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