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Dr. David Koch, MD
Diagnostic Radiology Physician in Normal, Illinois
NPI 1063451789

David Koch is a Diagnostic Radiology Physician based in Normal, IL and is specialized in Diagnostic Radiology. David Koch practices in Normal, IL and has the professional credentials of MD. The NPI Number for David Koch is 1063451789 and holds a License No. (Illinois).

The current practice location address for David Koch is 2200 Fort Jesse Rd, Normal, IL and can be reached out via phone at 309-452-1788 and via fax at 309-862-1302.

Location: 2200 Fort Jesse Rd, Normal, IL, 61761-6286
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Provider Profile Details
NPI Number
1063451789
Provider Name
David Koch
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2200 Fort Jesse Rd, Normal, IL, 61761-6286
Phone Number
309-452-1788
Fax Number
309-862-1302
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036069421*1 05 IL
institution
Provider Business Practice Location Address Details
Address
2200 Fort Jesse Rd
City
State
Zip
61761-6286
Phone Number
309-452-1788
Fax Number
309-862-1302
person
Provider Business Mailing Address Details
Address
2200 Fort Jesse Rd
City
State
Zip
61761-6286
Phone Number
309-452-1788
Fax Number
309-862-1302
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
License No.
(Illinois)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
(Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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