Konicek, Frank Joseph
Konicek, Frank Joseph is an sole proprietor health care provider with primary practice located at 3004 N Ashland Ave , Chicago IL 60657-3012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Konicek, Frank Joseph can be contacted via phone (773) 871-4600.Contact Information
Primary practice address
3004 N Ashland Ave
Chicago IL 60657-3012
Phone: (773) 871-4600
Fax: (773) 871-2900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036039279 | Illinois |
Profile Details
| NPI number | 1619966447 |
|---|---|
| LBN Legal business name | Konicek, Frank Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Oct 16th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619966447 | NPPES |
| Illinois | MEDICAID | 036039279 |
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