Individual
ROGER ALAN KONWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
275 S MONTEREY AVE, ELMHURST, IL 60126-3008
(630) 202-4437
Mailing address
275 S MONTEREY AVE, ELMHURST, IL 60126-3008
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.045639
IL
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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