Tagle, Laura Koeppel

Tagle, Laura Koeppel is an individual health care provider with primary practice located at 2900 Foxfield Rd , St Charles IL 60174-5799. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tagle, Laura Koeppel can be contacted via phone (630) 208-3200.

Contact Information

Primary practice address
2900 Foxfield Rd St Charles IL 60174-5799
Phone: (630) 208-3200
Fax: (630) 208-3201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2008-00673 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036138795 Illinois

Profile Details

NPI number 1053440008
LBN Legal business name Tagle, Laura Koeppel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Sep 16th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053440008 NPPES
South Carolina MEDICAID N0067F
South Carolina MEDICAID 1053440008
South Carolina Other 920540
South Carolina MEDICAID 5909695
South Carolina Other F400237969

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