Individual
MONIQUE ELAINE KONECNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
5348 N CLARK ST, CHICAGO, IL 60640-4398
(773) 565-6511
Mailing address
5348 N CLARK ST, CHICAGO, IL 60640-4398
(773) 565-6511
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.000912
IL
171100000X
Acupuncturist
84000120A
IN
Other
Enumeration date
10/22/2010
Last updated
02/03/2021
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