# KOVACH EYE INSTITUTE, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669498267
- **Authorized official:** KEVIN J KOVACH C.O.E. (PRESIDENT)
- **Authorized official phone:** (630) 833-9621

## Contact information

- **Practice address:** 152 N ADDISON AVE, ELMHURST, IL 60126
- **Practice address phone:** (630) 833-9621
- **Practice address fax:** (630) 833-9465
- **Mailing address:** 152 N ADDISON AVE, ELMHURST, IL 60126-2821
- **Mailing address phone:** (630) 833-9621
- **Mailing address fax:** (630) 833-9465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 042-616829 | IL | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 05/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02222949 | BLUE SHIELD OF ILLINOIS | IL |
| 01 | — | CG2135 | PALMETTO GBA | IL |