Roberta Lynn Koeppen, MD

Urology Physician · Springfield, IL

Individual Active NPI

NPI number 1235703299

Practice location

747 N Rutledge St
Springfield, IL 62702-6700
Phone
(217) 545-3262
Fax
(217) 545-7305

Open in Google Maps

NPI record

NPI
1235703299
Entity type
Individual (Type 1)
Enumeration date
May 14, 2021
Last updated
May 14, 2021
Certified
May 14, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Urology Physician Primary 208800000X 125077975 IL

Mailing address

PO Box 19665
Springfield, IL 62794-9665
Phone
(217) 545-3262
Fax
(217) 545-7305

About Dr. Koeppen

Roberta Lynn Koeppen, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Urology Physician (code 208800000X). The practice location is 747 N Rutledge St, Springfield, IL 62702-6700. The NPI number 1235703299 was assigned on May 14, 2021 and the record was last updated on May 14, 2021.

Dr. Koeppen lists a license in the registry: #125077975 (IL) for Urology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Roberta Lynn Koeppen, MD?

The NPI number is 1235703299.

What is the phone number of Dr. Koeppen?

The phone number listed for the practice location is (217) 545-3262.

Where is Dr. Koeppen located?

747 N Rutledge St, Springfield, IL 62702-6700.

What is the taxonomy code for Dr. Koeppen?

The primary taxonomy code is 208800000X – Urology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Urology Physician providers in Springfield

All Urology Physician providers in Springfield, IL →