SearchIllinois390200000X

Andrew Koenig

NPI 1750828927 · on the registry since 2017 · sole proprietor

Practice

Address
1020 N 3rd St
Rochelle, IL 61068
Phone
(563) 580-5495

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
2255A2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-02-02

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