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Mollie A Kopp
Student Health Clinic/Center in Chicago, Illinois
NPI 1609486794

Mollie A Kopp is a Student Health Clinic/Center based in Chicago, IL and is specialized in Student Health. Mollie A Kopp practices in Chicago, IL. The NPI Number for Mollie A Kopp is 1609486794 and holds a License No. (Illinois).

The current practice location address for Mollie A Kopp is 1127 N Oakley Blvd Fl 3, Chicago, IL and can be reached out via phone at 312-770-2317.

Location: 1127 N Oakley Blvd Fl 3, Chicago, IL, 60622-3507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609486794
Provider Name
Mollie A Kopp
Credential
Provider Entity Type
Individual
Gender
Female
Address
1127 N Oakley Blvd Fl 3, Chicago, IL, 60622-3507
Phone Number
312-770-2317
Fax Number
Provider Enumeration Date
08/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1127 N Oakley Blvd Fl 3
City
Chicago
State
Illinois
Zip
60622-3507
Phone Number
312-770-2317
Fax Number
person
Provider Business Mailing Address Details
Address
1127 N Oakley Blvd Fl 3
City
Chicago
State
Illinois
Zip
60622-3507
Phone Number
312-770-2317
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Student Health
Taxonomy
261QS1000X
License No.
()
Definition
Definition to come...
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