Individual
ELENA MARIE KONRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-4163
Mailing address
2717 N LEHMANN CT APT 10S, CHICAGO, IL 60614-1665
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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