Individual provider Active NPI

Gail Ann Kopin, RDH, COM, N.D.

  • Naturopath
  • Lake Zurich, IL
National Provider Identifier
1710129556
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
0200005872 Issued in IL
Practice address
504 S Rand Rd
Lake Zurich, IL 60047-2357
Phone
(847) 955-0800
NPI assigned
Mar 25, 2009
Last updated
Mar 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 0200005872 IL Primary

Addresses

Primary practice location

504 S Rand Rd
Lake Zurich, IL 60047-2357

Mailing address

504 S Rand Rd
Lake Zurich, IL 60047-2357
Phone (847) 955-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0200005872ILMDNaturopath

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1710129556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472357",
            "telephone_number": "847-955-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472357",
            "telephone_number": "847-955-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPIN",
        "first_name": "GAIL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "RDH, COM, N.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "IL",
            "license": "0200005872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.