Individual
MR. STEVEN M KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 UNIVERSITY CIR, MACOMB, IL 61455-1367
(309) 298-2340
Mailing address
553 RIVER RUN DR, MACOMB, IL 61455-1173
(309) 333-2860
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002463
IL
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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