Stanley Koch, MD

NPI 1467436436 · on the registry since 2005 · sole proprietor

Practice

Address: 411 Maxine Dr
Morton, IL 61550
Phone: (309) 263-2411
Fax: (309) 263-2208
Organisation at this address: Restore Medical Llc
Koch Family Medicine Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-08-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois