IndividualActive
David Koch, M.D.
NPI 1063451789 · Body Imaging Physician · Normal, IL
Provider details
- NPI number
- 1063451789
- Entity type
- Individual
- Primary specialty
- Body Imaging PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
Practice location
2200 Fort Jesse Rd
Suite 280
Normal, IL 61761-6286
Phone: (309) 452-1788
Fax: (309) 862-1302
Approximate (ZIP-level) locationGet directions
Mailing address
2200 Fort Jesse Rd
Normal, IL 61761-6286
Registry dates
- Enumerated
- 2006-06-06
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.