Koch, Chad

Koch, Chad is an individual health care provider with primary practice located at 350 Main St Nw , Bourbonnais IL 60914-2383. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Koch, Chad can be contacted via phone (815) 936-1855.

Contact Information

Primary practice address
350 Main St Nw Bourbonnais IL 60914-2383
Phone: (815) 936-1855
Fax: (815) 936-6097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Illinois

Profile Details

NPI number 1861454795
LBN Legal business name Koch, Chad
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jul 8th, 2007 - about 19 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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