Illinois Valley Surgical Associates, Sc

NPI #1427260207 in Ottawa, Illinois

Provider Information

NPI Number: 1427260207
Entity Type: Organization
Organization Name: Illinois Valley Surgical Associates, Sc
Primary Specialty: Surgery
Enumeration Date: May 4, 2007
Last Updated: Oct 8, 2018

Practice Location

Address: 1050 E NORRIS DR
Address 2: SUITE 2B
City: Ottawa
State: Illinois
ZIP Code: 61350-1605
Phone: (815) 433-3745

Authorized Official

Name: DR. JOSEPH STANLEY KOKOSZKA, M.D.
Title: CHAIRMAN OF THE BOARD
Phone: (815) 433-3745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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