Individual provider · Type 1 NPI
Nicholas Brent Koch, AGPCNP-BC
Primary Care Nurse Practitioner · Chicago, IL
NPI number
1750162780
Active
Practice location
150 E Huron St Ste 1101
Chicago, IL 60611-2948
Fax (312) 216-1779
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 209.028387 (IL) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 209.028387 (IL) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1750162780
Nicholas Brent Koch, AGPCNP-BC's National Provider Identifier is 1750162780, issued on Oct 5, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Chicago, IL. The record was last updated on Nov 23, 2024.