DR. EDGAR L KOCH (NPI# 1134224033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134224033 |
Entity Type | Individual |
Full Name | DR. EDGAR L KOCH |
Credential | M.D. |
Practice Address |
1555 Barrington Rd Hoffman Estates IL 60194-1019 |
Mailing Address |
Po Box 1690 Woodstock IL 60098-1690 |
Practice Telephone | 8478432000 |
Mailing Telephone | 8153371466 |
Mailing Fax Number | 8153371721 |
Enumeration Date | 2006-09-14 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2085B0100X |
Radiology Specialization: Body Imaging |
IL | Allopathic & Osteopathic Physicians | |
X | 2085N0700X |
Radiology Specialization: Neuroradiology |
IL | Allopathic & Osteopathic Physicians | |
X | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
IL | Allopathic & Osteopathic Physicians | |
X | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
IL | Allopathic & Osteopathic Physicians | |
X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
IL | Allopathic & Osteopathic Physicians | |
X | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS PROVIDER ID | 05615083 | 01 |
Street Address |
1555 BARRINGTON RD |
City | HOFFMAN ESTATES |
State | IL |
Zip Code | 60194-1019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437158086 | Susan L Peluchiwski | Nurse Anesthetist, Certified Registered | 1555 Barrington Rd, Hoffman Estates, IL 60169-1019 | 2005-07-17 |
1871103309 | Devin Cecchini Zucco | Nurse Practitioner | 1555 Barrington Rd, Hoffman Estates, IL 60169-1019 | 2020-08-10 |
1447873740 | Cepamerica Illinois LLP | Emergency Medicine | 1555 Barrington Rd, Hoffman Estates, IL 60169-1019 | 2020-05-20 |
1912466228 | Advance Medicine LLC | Family Medicine | 1555 Barrington Rd, Hoffman Estates, IL 60169-1019 | 2019-03-16 |
1093283780 | Rudy Lazaro | Registered Nurse | 1555 Barrington Rd, Hoffman Estates, IL 60169-1019 | 2018-11-12 |
1316442403 | Catherine Lynn Fletcher | Registered Nurse | 1555 Barrington Rd, Hoffman Estates, IL 60169-1019 | 2018-03-29 |
1548761968 | Or Surgical Assistants LLC | Specialist/Technologist, Other | 1555 Barrington Rd, Hoffman Estates, IL 60169-1019 | 2018-02-21 |
1609383496 | Krzysztof Malewicz | Nurse Anesthetist, Certified Registered | 1555 Barrington Rd, Hoffman Estates, IL 60169-1019 | 2018-01-03 |
1659807253 | Brynn O'donnell | Nurse Practitioner | 1555 Barrington Rd, Hoffman Estates, IL 60169-1019 | 2017-05-03 |
1336684547 | Neha Parekh | Nurse Practitioner | 1555 Barrington Rd, Doctors Building 1 Suite 410, Hoffman Estates, IL 60169-1019 | 2016-12-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427664812 | Alesandra Doughty | Physical Therapist | Schaumburg School District, 524 E Schaumburg Rd, Schaumburg, IL 60194 | 2020-09-21 |
1528538600 | Vital Signs Wellness, LLC | Case Management | 744 Leslie Lane, Schaumburg, IL 60194 | 2018-11-30 |
1356866958 | Integral Medical & Rehabilitation, S.c | Chiropractor | 399 Glen Byrn Ct, Schaumburg, IL 60194 | 2017-08-04 |
1508389883 | Andria Burris | Speech-Language Pathologist | 55 E Schaumburg Rd, Schaumburg, IL 60194 | 2017-07-19 |
1598286510 | S&t Medical Group Ltd | Clinic/Center | 1375 E Schaumburg Rd #120, Schaumburd, IL 60194 | 2017-06-29 |
1629525126 | Tracy Haut | Dental Hygienist | 131 Bright Ridge Dr, Schaumburg, IL 60194 | 2016-09-01 |
1447655733 | Isabell Ciszewski | Counselor | 118 Cumberland Dr, Schaumburg, IL 60194 | 2014-10-29 |
1902246317 | Ketty Esther Cruz | Behavioral Analyst | 1901 Finchley Ct, Schaumburg, IL 60194 | 2013-06-29 |
1184978983 | For Eyes Optical | Eyewear Supplier (Equipment, not the service) | 2606 W Schaumburg Road, Schaumburg, IL 60194 | 2012-10-31 |
1396075206 | Scharrington Dental PC | Dentist | 2505 W. Schaumburg Rd., Schaumburg, IL 60194 | 2009-12-29 |
Find all providers in zip 60194 |
Taxonomy Code | 2085B0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Body Imaging |
A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780789750 | Gregory Gullo | Radiology | 1555 Barrington Rd, Hoffman Estates, IL 60194-1019 | 2006-09-14 |
1942305974 | David Albritton | Radiology | 1555 Barrington Rd, Hoffman Estates, IL 60194-1019 | 2006-09-14 |
1386749257 | Daniel Horan | Radiology | 1555 Barrington Rd, Hoffman Estates, IL 60194-1019 | 2006-09-14 |
1427153337 | Shilpa Mehta | Radiology | 1555 Barrington Rd, Hoffman Estates, IL 60194-1019 | 2006-09-14 |
1366547259 | William Keenan | Radiology | 1555 Barrington Rd, Hoffman Estates, IL 60194-1019 | 2006-09-14 |
1366547267 | Victoria A Marsik-castillo | Radiology | 1555 Barrington Rd, Hoffman Estates, IL 60194-1019 | 2006-09-14 |
1962507889 | Radiological Consultants of Woodstock Ltd | Radiology | 1555 Barrington Rd, Hoffman Estates, IL 60194-1019 | 2006-09-14 |
1184729121 | John Bochniak | Radiology | 1555 Barrington Rd, Hoffman Estates, IL 60194-1019 | 2006-09-14 |
1750486668 | Bennett Park | Radiology | 1555 Barrington Rd, Hoffman Estates, IL 60194-1019 | 2006-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700042363 | Dejana Radulovic | Radiology | 676 North St.clair, 800, Chicago, IL 60611 | 2008-08-04 |
1306000542 | Stephanie Shors | Radiology | 1725 W Harrison St Ste 456, Chicago, IL 60612-3866 | 2008-07-16 |
1760688360 | Matthew Dodaro | Radiology | 6952 Rote Rd, Rockford, IL 61107-2607 | 2007-06-21 |
1518097567 | West Suburban Medical Center | Radiology | 420 William St, Bone Density At Fpc, River Forest, IL 60305-1920 | 2007-03-07 |
1932245578 | Alexander Ree | Radiology | 2160 S. First Ave., Radiology Department, Maywood, IL 60153 | 2007-01-30 |
1467523217 | Brent M Greenberg | Radiology | 1535 Park Ave West, Greenberg Radiology Imaging, Highland Park, IL 60035-2240 | 2006-11-13 |
1194820167 | Thomas Figler | Radiology | 903 Commerce Dr, Suite 333, Oak Brook, IL 60523-1969 | 2006-09-14 |
1609987767 | Dr. Swartz Imaging of Illinois | Radiology | 8618 W Golf Rd # 8620, Niles, IL 60714-5600 | 2006-08-31 |
1063435923 | Jorge Delatorre | Radiology | 3058 N Austin Ave, Chicago, IL 60634-5126 | 2006-07-25 |
1174565774 | Ana Stipisic | Radiology | 2233 W Division, Chicago, IL 60622 | 2006-06-11 |
Find all providers with the same taxonomy |
City | HOFFMAN ESTATES |
Zip Code | 60194 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.