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SEAN W.P. KOPPE M.D. NPI 1073534681


NPI Information

NPI: 1073534681
Provider Name: SEAN W.P. KOPPE, M.D.
Classification: Internal Medicine - 207RI0008X
Entity Type: Individual

Specialization: Hepatology

PECOS Registration: Yes

Address:
840 S WOOD ST
CLINICAL SCIENCES BUILDING (CSB), MC/716
CHICAGO, IL
ZIP 60612
Phone: (312) 355-3558
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Sean W.p. Koppe, M.D. is a hepatology internal medicine in Chicago, IL with 23 years of experience. The provider is the discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs. Sean W.p. Koppe, M.D. NPI is 1073534681. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:2001

The provider's business location address is:

840 S WOOD ST
CLINICAL SCIENCES BUILDING (CSB), MC/716
CHICAGO, IL
ZIP 60612-325
Phone: (312) 355-3558
Fax: (312) 413-2844

The NPI 1073534681 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 12/29/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine36111498ILLINOISNo
2207RG0100XInternal MedicineGastroenterology036111498ILLINOISNo
3207RI0008XInternal MedicineHepatology036111498ILLINOISYes
4207RT0003XInternal MedicineTransplant Hepatology036111498ILLINOISNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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