Individual
CONSTANTINE WONAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2255 MONARCH DR, NAPERVILLE, IL 60563-4164
(630) 300-1125
(630) 300-1394
Mailing address
2255 MONARCH DR, NAPERVILLE, IL 60563-4164
(630) 300-1125
(630) 300-1394
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036062093
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02222543
BCBS
IL
05
—
036062093 2
—
IL
Enumeration date
10/14/2005
Last updated
02/04/2021
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