Individual
KEVIN J KOVACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
152 N ADDISON AVE, ELMHURST, IL 60126
(630) 833-9621
(630) 833-9465
Mailing address
152 N ADDISON AVE, ELMHURST, IL 60126-2821
(630) 833-9621
(630) 833-9465
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036090975
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180037523
RAILROAD PALMETTO GBA
IL
Enumeration date
07/19/2005
Last updated
05/17/2018
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