Individual
ISABELLA RAE KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5700 COLLEGE RD, LISLE, IL 60532-2851
(630) 829-6154
Mailing address
5328 MAIN ST STE 122, LISLE, IL 60532-4185
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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