Individual
HANA D. KOPPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
085.010427
IL
208600000X
Surgery Physician
085.010427
IL
363AS0400X
Surgical Physician Assistant
Primary
085010427
IL
Other
Enumeration date
04/02/2024
Last updated
07/09/2024
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