Organization
ILLINOIS VALLEY SURGICAL ASSOCIATES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH STANLEY KOKOSZKA M.D. (CHAIRMAN OF THE BOARD)
(815) 433-3745
Entity
Organization
Contact information
Practice address
1050 E NORRIS DR, SUITE 2B, OTTAWA, IL 61350-1605
(815) 433-3745
(815) 433-6928
Mailing address
1050 E NORRIS DR, SUITE 2B, OTTAWA, IL 61350-1605
(815) 433-3745
(815) 433-6928
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5007522
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/04/2007
Last updated
10/08/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us