person
Mr. Nicholas Brent Koch, AGPCNP-BC
Primary Care Nurse Practitioner in Chicago, Illinois
NPI 1750162780

Nicholas Brent Koch is a Primary Care Nurse Practitioner based in Chicago, IL and is specialized in Primary Care. Nicholas Brent Koch practices in Chicago, IL and has the professional credentials of AGPCNP-BC. The NPI Number for Nicholas Brent Koch is 1750162780 and holds a License No. 209.028387 (Illinois).

The current practice location address for Nicholas Brent Koch is 3170 N Sheridan Rd Apt 919, Chicago, IL and can be reached out via phone at 414-708-6656.

Location: 3170 N Sheridan Rd Apt 919, Chicago, IL, 60657-4882
person
Provider Profile Details
NPI Number
1750162780
Provider Name
Nicholas Brent Koch
Credential
AGPCNP-BC
Provider Entity Type
Individual
Gender
Male
Address
3170 N Sheridan Rd Apt 919, Chicago, IL, 60657-4882
Phone Number
414-708-6656
Fax Number
Provider Enumeration Date
10/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3170 N Sheridan Rd Apt 919
City
State
Zip
60657-4882
Phone Number
414-708-6656
Fax Number
person
Provider Business Mailing Address Details
Address
3170 N Sheridan Rd Apt 919
City
State
Zip
60657-4882
Phone Number
414-708-6656
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
209.028387 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
209.028387 (Illinois)
Definition
Definition to come...
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