Individual
DONALD F KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 W DELAWARE PL, CHICAGO, IL 60610-8115
(708) 386-6565
(708) 386-6589
Mailing address
176 SPRING LAKE CIR, NAPLES, FL 34119-4678
(708) 638-1229
(239) 304-3681
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036040159
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036040159
—
IL
Enumeration date
08/29/2006
Last updated
04/22/2021
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