Leo Koenig MD

NPI 1013967322 - Family Medicine - 207Q00000X

NPI Details
NPI 1013967322
Gender Male
Enumeration Date 05/10/2006
Last Updated 01/12/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
5101 WILLOW SPRINGS RD
SOUTH PAVILION, 2ND FLR
LA GRANGE IL, 60525-2600, US
Phone (708) 245-8900
Fax (708) 245-5604
Business Location
5101 WILLOW SPRINGS RD
SOUTH PAVILION, 2ND FLR
LA GRANGE IL, 60525-2600, US
Phone (708) 245-8900
Fax (708) 245-5604
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 36051868
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According to our database, Dr. Leo Koenig MD NPI is 1013967322, taxonomy code is 207Q00000X and license number is 36051868, license state is located at Illinois. Leo Koenig MD physically located at 5101 Willow Springs Rd, La Grange IL, 60525-2600. NPI Number Leo Koenig MD has the Individual type.

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1013967322 NPI number is provided on an as is basis without warranty of any kind. 1013967322 is maintained by the National Plan & Provider Enumeration System. The contents of Leo Koenig MD are for informational purposes only.