Individual
CHRISTINE KONECNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 DEKALB AVE STE J, SYCAMORE, IL 60178-3132
(815) 787-9000
Mailing address
216 BEATRICE AVE, ST CHARLES, IL 60174-4342
(608) 642-0164
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
150104796
IL
Other
Enumeration date
01/01/2021
Last updated
01/01/2021
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