Individual
JAMES AUSTIN KOESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 W RACE ST, RIDGWAY, IL 62979-1150
(618) 272-8831
Mailing address
900 W RACE ST, RIDGWAY, IL 62979-1150
(618) 272-8831
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041473574
IL
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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