| Doctor Name: | DENISE L. VAN KOEVERING |
| NPI Number: | 1104925676 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | COMS |
| License Number: | |
| Business Practice Address: | 5th & Roosevelt Road Hines, IL - 601415000 |
| Business Phone Number: | 7082022273 |
| Business Fax Number: | 7082027949 |
| Mailing Address: | 315 N Ashland Ave, LA GRANGE PARK |
| State: | IL |
| Postal Code: | 605262026 |
| Phone Number: | 7085790716 |
| Fax Number: | |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2255R0406X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Rehabilitation, Blind |
| Taxonomy Definition: | |