Christopher Koentz

NPI 1700276417 · on the registry since 2015 · sole proprietor

Practice

Address: 802 E Northwest Hwy
Arlington Heights, IL 60004
Phone: (847) 253-5494
Fax: (847) 253-5508
Organisation at this address: Roundys Supermarkets Inc
1918 Winter Street Operating Co Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-02-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois