Individual
STEPHANIE KOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
530 NE GLEN OAK AVE, EMERGENCY DEPARTMENT, PEORIA, IL 61637-0001
(309) 655-6710
Mailing address
5400 W SIENNA LN, APT 6203, PEORIA, IL 61615-7871
(217) 855-7961
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125.059437
IL
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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