Individual
ANNE KONCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4801 N CENTRAL AVE, CHICAGO, IL 60630-3211
(866) 389-2727
Mailing address
1639 W HURON ST, APT 2F, CHICAGO, IL 60622-5604
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209009039
IL
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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