Individual
STEPHANIE ANN KONOPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3815 HIGHLAND AVE, DOWNERS GROVE, IL 60515-1500
(847) 990-5458
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
041382344
IL
363L00000X
Nurse Practitioner
Primary
209-030320
IL
363LF0000X
Family Nurse Practitioner
209030320
IL
Other
Enumeration date
05/15/2024
Last updated
10/09/2024
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