Individual
WILLIAM DAVID COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFO/ LO
Contact information
Practice address
71 WAUKEGAN RD STE 400, LAKE BLUFF, IL 60044-1634
(847) 444-0690
(847) 444-0690
Mailing address
1S376 SUMMIT AVE, COURT E, OAKBROOK TERRACE, IL 60181-3985
(630) 705-4092
(630) 424-0467
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
213000105
IL
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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