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Individual

CHRISTOPHER KOENIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
19550 GOVERNORS HWY STE 1400, FLOSSMOOR, IL 60422
(708) 647-7565
Mailing address
27702 NETWORK PL, CHICAGO, IL 60673-1277
(708) 862-7674
(708) 862-1781

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085-005657
IL

Other

Enumeration date
09/23/2015
Last updated
02/12/2019
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