Individual
AMELIA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
8940 W 24TH ST, NORTH RIVERSIDE, IL 60546-1158
(708) 447-8030
Mailing address
2702 N ASHLAND AVE UNIT 2, CHICAGO, IL 60614-1106
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1351277
IL
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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