Individual
MS. KOREN MAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
718 S LOCUST ST, SYCAMORE, IL 60178-2227
(815) 899-8223
Mailing address
2005 FRANTUM RD, SYCAMORE, IL 60178-8909
(815) 501-6147
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
041306039
IL
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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