Individual
KELLY KONOPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13200 VILLAGE GREEN DR, HUNTLEY, IL 60142-8039
(847) 961-5635
Mailing address
13200 VILLAGE GREEN DR, HUNTLEY, IL 60142-8039
(847) 961-5635
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.288885
IL
183500000X
Pharmacist
26020189A
IN
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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