person
Thomas Michael Koch, PA-C
Medical Physician Assistant in Chicago, Illinois
NPI 1720859150

Thomas Michael Koch is a Medical Physician Assistant based in Chicago, IL and is specialized in Medical. Thomas Michael Koch practices in Chicago, IL and has the professional credentials of PA-C. The NPI Number for Thomas Michael Koch is 1720859150 and holds a License No. (Illinois).

The current practice location address for Thomas Michael Koch is 4646 N Marine Dr, Chicago, IL and can be reached out via phone at 773-878-8700.

Location: 4646 N Marine Dr, Chicago, IL, 60642-3356
person
Provider Profile Details
NPI Number
1720859150
Provider Name
Thomas Michael Koch
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4646 N Marine Dr, Chicago, IL, 60642-3356
Phone Number
773-878-8700
Fax Number
Provider Enumeration Date
01/15/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4646 N Marine Dr
City
State
Zip
60640-5759
Phone Number
773-878-8700
Fax Number
person
Provider Business Mailing Address Details
Address
4646 N Marine Dr
City
State
Zip
60640-5759
Phone Number
773-878-8700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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