Individual
SHELBY KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
680 N LAKE SHORE DR STE 1230, CHICAGO, IL 60611-4411
(312) 477-2973
(312) 981-4400
Mailing address
680 N LAKE SHORE DR STE 1230, CHICAGO, IL 60611-4411
(312) 477-2973
(312) 981-4400
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
246.000335
IL
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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