Individual
DR. KARL M KOCHENDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 W MAXWELL ST FL 1, CHICAGO, IL 60607-5017
(312) 996-2901
(312) 413-2364
Mailing address
720 W MAXWELL ST FL 1, CHICAGO, IL 60607-5017
(312) 996-2901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-114345
IL
207Q00000X
Family Medicine Physician
2006018405
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205456700
—
MO
01
—
757339
HEALTHLINK
MO
Enumeration date
07/21/2006
Last updated
05/23/2019
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