Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 209-002246 | IL |
NPI | 1336340462 |
---|---|
Provider Name | Karen L. Kopan |
First Address | Evanston, IL 60201-1700 |
Second Address | Evanston, IL 60201-1718 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 04/06/2020 |