John E Konkol SR., DDS

NPI #1043490568 in Chicago, Illinois

Provider Information

NPI Number: 1043490568
Entity Type: Individual
Name: John E Konkol SR., DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 13, 2007
Last Updated: Nov 13, 2007

Practice Location

Address: 10906 S WESTERN AVE
City: Chicago
State: Illinois
ZIP Code: 60643
Phone: (773) 445-9474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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