SearchIllinois1835P1300X

Brad Koechle

NPI 1841525847 · on the registry since 2009 · sole proprietor

Practice

Address
401 N 4th St
Springfield, IL 62702
Phone
(217) 299-2973
Clinicians at this address
2

Registry record

Primary taxonomy
1835P1300X
1835P1300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-10-08

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