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Individual

CHAD KOVASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
1300 COPPERFIELD AVE STE 3070, JOLIET, IL 60432-2065
(708) 349-0055
(708) 460-8031
Mailing address
10660 W 143RD ST STE B, ORLAND PARK, IL 60462-1989
(708) 349-0055
(708) 460-8031

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
363862771
IL

Other

Enumeration date
10/26/2006
Last updated
05/17/2008
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