Individual
ANDREW KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 N 3RD ST, ROCHELLE, IL 61068-1758
(563) 580-5495
Mailing address
1020 N 3RD ST, ROCHELLE, IL 61068-1758
(563) 580-5495
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
01/26/2017
Last updated
02/02/2017
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