NPI 1295236958

William David Couch, CFOLO

Practitioner Orthotist Lake Bluff, IL

Practice location

Address: 71 Waukegan Rd STE 400, Lake Bluff, IL 60044-1634
Phone: (847) 444-0690
Fax: (847) 444-0690
Mailing address: 1s376 Summit Ave Court E, Oakbrook Terrace, IL 60181-3985

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 213000105 (IL)

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Registry record

NPI: 1295236958
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Feb 2018
Record last updated: 27 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.