Individual
DR. DAVID W. KOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1302 FRANKLIN AVE, #2200, NORMAL, IL 61761-3551
(309) 662-9631
(309) 662-4706
Mailing address
1302 FRANKLIN AVE, #4500, NORMAL, IL 61761-3551
(309) 662-9631
(309) 662-4706
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050045
HEALTH ALLIANCE
IL
01
—
05732097
BC GROUP NUMBER
IL
Enumeration date
06/07/2006
Last updated
07/08/2007
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