Individual
JOHN E KONKOL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10906 S WESTERN AVE, CHICAGO, IL 60643
(773) 445-9474
(773) 445-7081
Mailing address
10906 S WESTERN AVE, CHICAGO, IL 60643
(773) 445-9474
(773) 445-7081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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