Organization
KOVACH EYE INSTITUTE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J KOVACH C.O.E. (PRESIDENT)
(630) 833-9621
Entity
Organization
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
042-616829
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02222949
BLUE SHIELD OF ILLINOIS
IL
01
—
CG2135
PALMETTO GBA
IL
Enumeration date
07/15/2006
Last updated
05/17/2018
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