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

Hana D. Koppel, PA-C

Individual provider Surgery Physician · NPI 1912759275

Hana D. Koppel, PA-C is a Physician Assistant in Evanston, Illinois. Qualified in 2023, 3 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2024
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2650 Ridge Ave
Evanston, IL 60201-1700
Phone: (847) 570-2868
Fax: (847) 733-5005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 840 W Blackhawk St, Chicago, IL 60642-2592 — (847) 636-0698

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085010427 (IL)
Surgery Physician Taxonomy 208600000X · Licence 085.010427 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 085.010427 (IL)

Record details

NPI number1912759275
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 2, 2024
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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