MRS. ELIZABETH ALICE KOCH PA-C NPI 1023269446

NPI Information

  • NPI: 1023269446
  • Provider Name: MRS. ELIZABETH ALICE KOCH, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 WESTBROOK CORPORATE CTR
    STE 800
    WESTCHESTER, IL
    ZIP 60154
  • Phone: (708) 343-3566

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NPI Details

MRS. Elizabeth Alice Koch, PA-C is a surgical physician assistant in Westchester, IL with 17 years of experience. MRS. Elizabeth Alice Koch, PA-C NPI is 1023269446. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 WESTBROOK CORPORATE CTR
STE 800
WESTCHESTER, IL
ZIP 60154-701
Phone: (708) 343-3566

The NPI 1023269446 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2008 and was last updated on 2/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical085003308ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1207836MEDICARE PINILLINOIS
21770524670OTHERILLINOISMEDICARE ID- COOK CO
31003856758OTHERILLINOISMEDICARE DUPAGE COUNTY
4207848MEDICARE PINILLINOIS
5085003308MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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