Gary L Koehn in La Grange Highlands - Interventional Pain Medicine
Gary L Koehn - NPI 1992758965
Gary L Koehn is a Interventional Pain Medicine in La Grange Highlands, Illinois. Gary L Koehn practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Gary L Koehn is 1992758965. The last update date is 2012-11-08.
Gary L Koehn's current location address is 5201 Willow Springs Rd, La Grange Highlands, Illinois. You can contact this provider via phone number 7084824500 and fax number 7084824502. The mailing address for Gary L Koehn is 5201 Willow Springs Rd, La Grange Highlands, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary L Koehn |
|---|---|
| Address | 5201 Willow Springs Rd, La Grange Highlands, Illinois |
| Phone Number | 7084824500 |
| Fax Number | 7084824502 |
| Sole Proprietor | Y |
| Credentials | MD, PHD |
NPI Number Detail
| NPI Number | 1992758965 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2012-11-08 |
Provider Mailing Address Detail
| Address | 5201 Willow Springs Rd |
|---|---|
| City | La Grange Highlands |
| State | Illinois (IL) |
| Post Code | 605256537 |
| Phone Number | 7084824500 |
| Fax Number | 7084824502 |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Pain Medicine |
|---|---|
| Taxonomy | 208Vp0014X |
| Licence No | 36074138 |
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Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30038 | IL | HEALTH ALLIANCE ID | |
| 1608719 | IL | BLUE CROSS PROVIDER NO. | |
| 132321800 | IL | US DEPT OF LABOR GROUP | |
| 1164451308 | IL | GL KOEHN ASSOC GROUP NPI |
Post Comment/ Review Below
What is the unique identification code assigned to Gary L Koehn by the Centers for Medicare & Medicaid Services?
The Gary L Koehn has been issued the NPI (National Provider Identifier) 1992758965. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gary L Koehn?
The Gary L Koehn is situated at 5201 Willow Springs Rd, in the city of La Grange Highlands, state of IL, with the zip code 605256537.
What is Gary L Koehn's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gary L Koehn's area of specialization is Interventional Pain Medicine, and the corresponding taxonomy code that categorizes this field of practice is 208Vp0014X.
When was the Gary L Koehn's 1992758965 issued?
The Gary L Koehn's 1992758965 was issued on 2006-05-18.
As of what date was the information pertaining to Gary L Koehn, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gary L Koehn, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-11-08.