WILLIAM DAVID COUCH

LAKE BLUFF, IL
NPI1295236958
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
(Licence: IL  213000105)
Enumeration Date2018-02-27
Last Update Date2018-02-27
Business Address
WILLIAM DAVID COUCH CFO/ LO
71 WAUKEGAN RD STE 400
LAKE BLUFF, IL 60044-1634
Phone number: 847-444-0690
Mailing Address
WILLIAM DAVID COUCH CFO/ LO
1S376 SUMMIT AVE COURT E
OAKBROOK TERRACE, IL 60181-3985
Phone number: 630-705-4092
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