| Dr David Koch, MD | |
|
2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 | |
| (309) 452-1788 | |
| (309) 862-1302 |
| Full Name | Dr David Koch |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2200 Fort Jesse Rd, Normal, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063451789 | NPI | - | NPPES |
| 036069421*1 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085B0100X | Radiology - Body Imaging | (Illinois) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Koch, MD 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 Ph: (309) 452-1788 | Dr David Koch, MD 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 Ph: (309) 452-1788 |
Dr. Daniel L Ha, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302 | |
Dr. Ajay R Malpani, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302 | |
Patrick S Fernandes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 407 E Vernon Ave, Normal, IL 61761 Phone: 309-451-2231 Fax: 309-451-2299 | |
Dr. Carlos P Capati, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302 | |
Amit Vyas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2200 Fort Jesse Road, Ste. 280, Normal, IL 61761 Phone: 730-945-2178 Fax: 309-862-1302 | |
Nicholas Florence, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1300 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 |