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14D0699277 CLIA NUMBER - JAMES KOOP MD LLC

Laboratory Demographics

CLIA Number: 14D0699277

Facility Name: JAMES KOOP MD LLC

Facility Address:
675 W NORTH AV SUITE 409
MELROSE PARK, IL
ZIP 60160
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Facility Phone Number: 708 450-5070

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1255420451

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 14D0699277
LAB Type Physician Office
Facility Name JAMES KOOP MD LLC
Street 675 W NORTH AV SUITE 409
City MELROSE PARK
State IL
ZIP 60160
Phone 708 450-5070
CertificateType 3
CertificateEffectiveDate 8/31/2022
CertificateExpirationDate 8/30/2024
FacilityType PPMP

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This page was last updated on: 4/23/2024