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Search › Illinois › 103TC0700X

Ellen Koucky

NPI 1487914081 · on the registry since 2012

Practice

Address
820 S Damen Ave
Chicago, IL 60612
Phone
(708) 990-5295
Organisation at this address
Chicago Vamc
Chicago Vamc
Chicago Vamc
Jesse Brown Va
Jesse Brown Va
Inferred from a shared address, not stated in the registry.
Clinicians at this address
639

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-18

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