MEDICARE: DR. AHMET SINAN COPUR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician		IL
2	207RP1001X	Pulmonary Disease Physician		IL

General Provider Information

NPI Number	:	1952472805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AHMET SINAN COPUR MD

Provider Business Mailing Address
First Line	:	1219 DEERFIELD PKWY
Second Line	:	SUITE 304
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-4566
Country	:	US
Telephone Number	:	847-732-1303
Fax Number	:

Provider Business Practice Location Address
First Line	:	1219 DEERFIELD PKWY
Second Line	:	SUITE 304
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-4566
Country	:	US
Telephone Number	:	847-732-1303
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	09/21/2007

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