Individual
MR. ANTHONY R KOEBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1435 N RANDALL RD, SUITE 103, ELGIN, IL 60123-2306
(847) 888-0750
(847) 888-2152
Mailing address
1435 N RANDALL RD, SUITE 103, ELGIN, IL 60123-2306
(847) 888-0750
(847) 888-2152
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057551
NATIONAL CERTIFICATION
IL
Enumeration date
10/28/2008
Last updated
02/21/2012
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