Individual provider · Type 1 NPI

Hana D. Koppel, PA-C

Surgical Physician Assistant · Evanston, IL

NPI number 1912759275 Active

Practice location

2650 Ridge Ave
Evanston, IL 60201-1700

Call (847) 570-2868 Map

Fax (847) 733-5005

Other practice locations

  • 840 W Blackhawk St, Chicago, IL 60642-2592 · (847) 636-0698

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X085.010427 (IL)
Internal Medicine Physician 207R00000X085.010427 (IL)
Surgical Physician Assistant Primary 363AS0400X085010427 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1912759275

Hana D. Koppel, PA-C's National Provider Identifier is 1912759275, issued on Apr 2, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Evanston, IL. The record was last updated on Jul 9, 2024.