Individual
HALLIE KONIECZKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(630) 936-4029
(630) 936-4032
Mailing address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(630) 936-4029
(630) 936-4032
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014646
IL
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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