Individual
DR. JOHN VINCENT KONOPELSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
76 S LASALLE ST, AURORA, IL 60505-3375
(630) 264-0916
(630) 264-1607
Mailing address
202 W KENDALL DR, YORKVILLE, IL 60560-1039
(630) 553-1030
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209004282
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209004282
ADVANCED PRACTICE NURSING
IL
Enumeration date
03/27/2007
Last updated
12/26/2012
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