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Individual

GEZA F KOGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2020 W ILES, SPRINGFIELD, IL 62704
(217) 691-1265
Mailing address
37 WILDWOOD RD, SPRINGFIELD, IL 62704-4359
(217) 691-1265

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
2130000060
IL

Other

Enumeration date
08/31/2006
Last updated
07/25/2007
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