Koch Family Medicine Sc

NPI #1376665125 in Morton, Illinois

Provider Information

NPI Number
1376665125
Entity Type
Organization
Organization Name
Koch Family Medicine Sc
Primary Specialty
Family Medicine
Enumeration Date
Apr 4, 2007
Last Updated
Oct 20, 2010

Practice Location

Address
411 MAXINE DR
City
Morton
ZIP Code
61550-2495
Phone
(309) 263-2411

Authorized Official

Name
STANLEY KOCH, M.D.
Title
PHYSICIAN
Phone
(309) 263-2411

Specialties & Taxonomy Codes

Specialty
Family Medicine

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