Individual
CONNOR KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 N WOLF RD, WHEELING, IL 60090-2922
(847) 353-1500
Mailing address
4701 SECRET GARDEN DR, MCFARLAND, WI 53558-8746
(608) 957-1345
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/29/2020
Last updated
09/11/2024
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