Koch, Elizabeth Alice

Koch, Elizabeth Alice is an individual health care provider with primary practice located at 1 Westbrook Corporate Ctr Ste 800, Westchester IL 60154-5701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Koch, Elizabeth Alice can be contacted via phone (708) 343-3566.

Contact Information

Primary practice address
1 Westbrook Corporate Ctr Ste 800 Westchester IL 60154-5701
Phone: (708) 343-3566
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085003308 Illinois

Profile Details

NPI number 1023269446
LBN Legal business name Koch, Elizabeth Alice
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2008
Last updated Feb 1st, 2017 - about 9 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 1023269446 NPPES
Illinois MEDICAID 085003308
Illinois Other 1003856758
Illinois Other 1770524670

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