Individual
JULEIGH MARIE NOWINSKI KONCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1015 W LAWRENCE AVE, CHICAGO, IL 60640-5017
(847) 207-5308
Mailing address
2708 N DRAKE AVE, CHICAGO, IL 60647-1235
(847) 207-5308
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
036139634
IL
Other
Enumeration date
06/18/2012
Last updated
04/28/2021
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