Organization
ICON PSYCHOLOGIES CORP
Active
Organization
ICON PSYCHOLOGIES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOBEREKON M KOKO MD (OWNER/MEDICAL DIRECTOR)
(312) 342-6066
Entity
Organization
Contact information
Practice address
620 N RIVER RD STE 106, NAPERVILLE, IL 60563-8951
(630) 364-2484
(630) 536-8511
Mailing address
620 N RIVER RD STE 106, NAPERVILLE, IL 60563-8951
(630) 364-2484
(630) 536-8511
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/22/2015
Last updated
11/26/2017
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