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MR. NICHOLAS BRENT KOCH AGPCNP-BC NPI 1750162780


NPI Information

NPI: 1750162780
Provider Name: MR. NICHOLAS BRENT KOCH, AGPCNP-BC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
3170 N SHERIDAN RD APT 919
CHICAGO, IL
ZIP 60657
Phone: (414) 708-6656
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MR. Nicholas Brent Koch, AGPCNP-BC is a primary care nurse practitioner in Chicago, IL. MR. Nicholas Brent Koch, AGPCNP-BC NPI is 1750162780. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3170 N SHERIDAN RD APT 919
CHICAGO, IL
ZIP 60657-882
Phone: (414) 708-6656

The enumeration date for this NPI number is 10/5/2023 and was last updated on 10/5/2023.


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
1363LG0600XNurse PractitionerGerontology209.028387ILLINOISNo
2363LP2300XNurse PractitionerPrimary Care209.028387ILLINOISYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.