Sean W Koppe (NPI# 1073534681, PAC ID# 4486755352) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1073534681 |
| PAC ID by PECOS | 4486755352 |
| Professional Enrollment ID | I20070723000022 |
| Full Name | Sean W Koppe |
| Organization Legal Name | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Address |
1200 S York St Elmhurst IL 60126-5626 |
| Phone Number | 6307588014 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2001 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GASTROENTEROLOGY |
| Group Practice PAC ID | 3072422716 |
| Number of Group Practice Members | 792 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140150 | UNIVERSITY OF ILLINOIS HOSPITAL |
| 140231 | EDWARD HOSPITAL |
| 140200 | ELMHURST MEMORIAL HOSPITAL |
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1740 W Taylor St, Chicago, IL 60612-7232 | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS | |
| 845 W Wilson Ave, Uic Medicine, Chicago, IL 60640-8090 | 3127441295 | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| 1200 S York St, Elmhurst, IL 60126-5626 | 6307588014 | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| 1 Illini Dr, Peoria, IL 61605-2576 | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS | |
| 401 Roxbury Rd, Rockford, IL 61107-5075 | 8153977340 | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Organization Legal Name | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Physicians | 919 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Karam | Orthopedic Surgery | The Board of Trustees of The University of Illinois | 835 S Wolcott Ave Mc, 844 Uic Orthopedics Sports Medicine, Chicago, IL 60612-3748 |
| Adam Kosloff | Internal Medicine | The Board of Trustees of The University of Illinois | 840 S Wood St Mc, 787 Uic Medicine, Chicago, IL 60612-4325 |
| Claire Thesing | Family Medicine | The Board of Trustees of The University of Illinois | 1919 W Taylor St, Suite 663, Chicago, IL 60612-7246 |
| Nicholas F Callahan | Maxillofacial Surgery | The Board of Trustees of The University of Illinois | 801 S Paulina St, Chicago, IL 60612-7210 |
| Ayman Al-hendy | Obstetrics/gynecology | The Board of Trustees of The University of Illinois | 820 S Wood St Mc, 808 Uic Obstetrics and Gynecology, Chicago, IL 60612-4325 |
| Mario Spaggiari | General Surgery | The Board of Trustees of The University of Illinois | 840 S Wood St, Uic Model Clinics, Chicago, IL 60612-4325 |
| Rayan A Elkattah | Obstetrics/gynecology | The Board of Trustees of The University of Illinois | 1 Illini Dr, Peoria, IL 61605-2576 |
| Jennifer Dugal | Nurse Practitioner | The Board of Trustees of The University of Illinois | 808 S Wood St Mc, 624 Uic Dermatology, Chicago, IL 60612-7300 |
| Katherine E Cappitelli | Nurse Practitioner | The Board of Trustees of The University of Illinois | 808 S Wood St, 722 Uic Emergency Medicine, Chicago, IL 60612-7300 |
| Robison Chan | Ophthalmology | The Board of Trustees of The University of Illinois | 1855 W Taylor St, Mc648, Chicago, IL 60612-7242 |
| Street Address |
1200 S YORK ST |
| City | ELMHURST |
| State | IL |
| Zip | 60126-5626 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry Legaspi | Physical Medicine and Rehabilitation | Edward Health Ventures | 1200 S York St, Suite 3160, Elmhurst, IL 60126-5626 |
| Omar Shamsi | Internal Medicine | Edward Health Ventures | 1200 S York St, Elmhurst, IL 60126-5626 |
| Yogen Patel | Physical Medicine and Rehabilitation | Edward Health Ventures | 1200 S York St, Suite 3280, Elmhurst, IL 60126-5638 |
| Terri Washington | Endocrinology | Diabetes Osteoporosis Obesity Inc | 1200 S York St, Suite 3150, Elmhurst, IL 60126-5628 |
| Alex B Behar | Physical Medicine and Rehabilitation | Edward Health Ventures | 1200 S York St, Suite 3160, Elmhurst, IL 60126-5626 |
| Sarah M Sarhaddi | Psychologist, Clinical | Edward Health Ventures | 1200 S York St, Suite 1240, Elmhurst, IL 60126-5627 |
| Kevin C Tu | Orthopedic Surgery | G and T Orthopaedics and Sports Medicine | 1200 S York St, Suite 4190, Elmhurst, IL 60126-5640 |
| Charles C Giger | Internal Medicine | 1200 S York St, Suite 3250, Elmhurst, IL 60126-5629 | |
| Thomas P Poepping | Orthopedic Surgery | G and T Orthopaedics and Sports Medicine | 1200 S York St, Suite 4190, Elmhurst, IL 60126-5640 |
| Christos S Giannoulias | Orthopedic Surgery | G and T Orthopaedics and Sports Medicine | 1200 S York St, Suite 4190, Elmhurst, IL 60126-5640 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William T Orourke | Internal Medicine | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Mike Zangan | Obstetrics/gynecology | 135 S Palmer Dr, Elmhurst, IL 60126 | |
| Barbara E Potaczek | Hospitalist | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Lalitha Dileep-ansal | Hospitalist | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Aysha Ahmed | Physician Assistant | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Asma M Ayub | Family Medicine | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Diane D Fabrizius | Internal Medicine | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Jeffrey J Kulik | Allergy/immunology | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Nabihah A Khan | Physician Assistant | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Wayne D Wong | Hospitalist | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Find all physicians in zip 60126 | |||
| City | ELMHURST |
| Zip Code | 60126 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ELMHURST + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Sean W Koppe.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.