Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fabiolla Siqueira Kopp, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1336388586

Fabiolla Siqueira Kopp, MD is a Physical Medicine and Rehabilitation in Chicago, Illinois. Qualified in 2007, 19 years ago. Practices with Southern Illinois Medical Services Nfp, a 332-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
19
Licensed in
IL, TX
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

30 N Michigan Ave Ste 506
Chicago, IL 60602-3837
Phone: (773) 312-4423
Fax: (773) 312-4522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 405 W Jackson St, Carbondale, IL 62901-1467 — (618) 549-0721
  • 201 S 14th St, Herrin, IL 62948-3631 — (618) 942-2171
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 — (618) 684-3156
  • 1333 Moursund St, Houston, TX 77030-3405 — (713) 797-5991

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence Q5683 (TX)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 036147419 (IL)

Record details

NPI number1336388586
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 11, 2009
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Southern Illinois Medical Services Nfp — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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