DIANE M. KOCH

URBANA, IL
NPI1417027145
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209001138)
Enumeration Date2006-11-09
Last Update Date2015-04-20
Business Address
-- DIANE M. KOCH NP
611 W. PARK ST.
URBANA, IL 61801-2500
Phone number: 217-383-3140
Mailing Address
-- DIANE M. KOCH NP
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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