Individual
MR. RUSSELL KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
88 W SCHILLER ST APT 1601, CHICAGO, IL 60610-2041
(312) 878-8800
(312) 448-9978
Mailing address
88 W. SCHILLER STREET #1601, CHICAGO, IL 60610
(312) 878-8800
(312) 448-9978
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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