Alicia Kouba, | |
2227 Stonehaven Dr, Plainfield, IL 60586-8119 | |
(815) 342-4342 | |
Not Available |
Full Name | Alicia Kouba |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 4 Years |
Location | 2227 Stonehaven Dr, Plainfield, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306597513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Three Point Healthcare Llc | 9133484694 | 15 |
Provider Name | Three Point Healthcare Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124535240 PECOS PAC ID: 9133484694 Enrollment ID: O20180604001868 |
Mailing Address | Practice Location Address |
---|---|
Alicia Kouba, 19805 S La Grange Rd, Mokena, IL 60448-8348 Ph: () - | Alicia Kouba, 2227 Stonehaven Dr, Plainfield, IL 60586-8119 Ph: (815) 342-4342 |
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