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Individual

MR. ALAN KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1806 N MARKET ST, CHAMPAIGN, IL 61822-1312
(217) 356-4920
(217) 359-2026
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070017168
IL

Other

Enumeration date
04/11/2012
Last updated
11/29/2016
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