| Contact Information | |
|---|---|
| First Name | Barbara |
| Last Name | Koehler |
| Address | 829 Highland Place |
| City | Highland Park |
| State | IL |
| Province | |
| Zip/Postal Code | 60035 |
| Country | United States |
| Home Phone | 847 - 433-4793 |
| Work Phone | - |
| Fax | |
| ernestkoehler@comcast.net | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | Barbara - Koehler |
| Date of Injury | 09/1978 |
| Type of Injury | Traumatic |