SearchIllinois2255A2300X

Chad Koch, ATC

NPI 1861454795 · on the registry since 2006

Practice

Address
350 Main St Nw
Bourbonnais, IL 60914
Phone
(815) 936-1855
Fax
(815) 936-6097
Clinicians at this address
2

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

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