DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHRISTINE KOSHAREK

MEDICARE: CHRISTINE KOSHAREK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1760510275
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE KOSHAREK
Provider Business Mailing Address
First Line : 1606 HUNT DR
Second Line : SPICE OF MARC
City : NORMAL
State : IL
Zip : 61761-2192
Country : US
Telephone Number : 309-452-0069
Fax Number : 309-451-8989
Provider Business Practice Location Address
First Line : 1606 HUNT DR
Second Line : SPICE OF MARC
City : NORMAL
State : IL
Zip : 61761-2192
Country : US
Telephone Number : 309-452-0069
Fax Number : 309-451-8989
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1366440604 — DR. HWAN G JEONG M.D.
Practice Location Address:
1606 HUNT DR
NORMAL, IL
61761-2192
Practice Phone: 309-452-9701
Practice Fax: 309-454-1957
1629076971 — DR. JOHN MIGAS M.D.
Practice Location Address:
1606 HUNT DR
NORMAL, IL
61761-2192
Practice Phone: 309-452-9701
Practice Fax: 309-454-1957
1174522189 — DR. PRAMERN SRIRATANA M.D.
Practice Location Address:
1606 HUNT DR
NORMAL, IL
61761-2192
Practice Phone: 309-452-9701
Practice Fax: 309-454-1957
1467467803 — MID-ILLINOIS HEMATOLOGY ONCOLOGY ASSOCIATES LTD
Practice Location Address:
1606 HUNT DR
NORMAL, IL
61761-2192
Practice Phone: 309-452-9701
Practice Fax: 309-454-1957
1871674747 — KRISTEN WILKEN ST
Practice Location Address:
1606 HUNT DR
NORMAL, IL
61761-2192
Practice Phone: 309-452-0069
Practice Fax: 309-451-8989
1336204932 — MRS. AMANDA LEE GIBSON OTRL
Practice Location Address:
1606 HUNT DR
NORMAL, IL
61761-2192
Practice Phone: 309-451-0069
Practice Fax:

Directions to “ CHRISTINE KOSHAREK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.