person
Mrs. Elizabeth Alice Koch, PA-C
Surgical Physician Assistant in Westchester, Illinois
NPI 1023269446

Elizabeth Alice Koch is a Surgical Physician Assistant based in Westchester, IL and is specialized in Surgical. Elizabeth Alice Koch practices in Westchester, IL and has the professional credentials of PA-C. The NPI Number for Elizabeth Alice Koch is 1023269446 and holds a License No. 085003308 (Illinois).

The current practice location address for Elizabeth Alice Koch is 1 Westbrook Corporate Ctr, Westchester, IL and can be reached out via phone at 708-343-3566.

Location: 1 Westbrook Corporate Ctr, Westchester, IL, 60154-5701
person
Provider Profile Details
NPI Number
1023269446
Provider Name
Elizabeth Alice Koch
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1 Westbrook Corporate Ctr, Westchester, IL, 60154-5701
Phone Number
708-343-3566
Fax Number
Provider Enumeration Date
10/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
085003308 05 IL
1003856758 01 IL MEDICARE DUPAGE COUNTY
1770524670 01 IL MEDICARE ID- COOK CO
institution
Provider Business Practice Location Address Details
Address
1 Westbrook Corporate Ctr
City
State
Zip
60154-5701
Phone Number
708-343-3566
Fax Number
person
Provider Business Mailing Address Details
Address
1 Westbrook Corporate Ctr
City
State
Zip
60154-5701
Phone Number
708-343-3566
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
085003308 (Illinois)
Definition
Definition to come...
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