Koch, Robert J

Koch, Robert J is an individual health care provider with primary practice located at 1870 W Winchester Rd Ste 241 , Libertyville IL 60048-5360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Koch, Robert J can be contacted via phone (847) 549-0170.

Contact Information

Primary practice address
1870 W Winchester Rd Ste 241 Libertyville IL 60048-5360
Phone: (847) 549-0170
Fax: (847) 549-0172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036085152 Illinois

Profile Details

NPI number 1962497974
LBN Legal business name Koch, Robert J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Dec 27th, 2021 - about 5 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 1962497974 NPPES
Illinois MEDICAID 036085152
Illinois Other 1456310
Illinois Other 5031191

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