Chad Koch is a Athletic Trainer in Bourbonnais, Illinois. Chad Koch practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Chad Koch is 1861454795. The last update date is 2007-07-08.
Chad Koch's current location address is 350 Main St Nw, Bourbonnais, Illinois. You can contact this provider via phone number 8159361855 and fax number 8159366097. The mailing address for Chad Koch is 350 Main St Nw, Bourbonnais, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chad Koch |
|---|---|
| Address | 350 Main St Nw, Bourbonnais, Illinois |
| Phone Number | 8159361855 |
| Fax Number | 8159366097 |
| Sole Proprietor | X |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1861454795 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 350 Main St Nw |
|---|---|
| City | Bourbonnais |
| State | Illinois (IL) |
| Post Code | 609142383 |
| Phone Number | 8159361855 |
| Fax Number | 8159366097 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique 10-digit identification code assigned to Chad Koch by the Centers for Medicare & Medicaid Services?
The Chad Koch has been issued the NPI (National Provider Identifier) 1861454795, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Chad Koch?
The Chad Koch is physically situated at 350 Main St Nw, in the city of Bourbonnais, state of IL, with the postal code 609142383.
What is the Chad Koch's area of specialization and corresponding taxonomy classification?
The Chad Koch's specialty field is Athletic Trainer, and it falls under the taxonomy code 2255A2300X, which categorizes healthcare providers based on their specialties.
On what date was the 1861454795 assigned to Chad Koch?
The Chad Koch was issued its 1861454795 on 2006-04-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Chad Koch's details last updated?
The information pertaining to the Chad Koch, including its address, specialty, and other details, was most recently updated on 2007-07-08.