Koenigsberg, Max D

Koenigsberg, Max D is an individual health care provider with primary practice located at 836 W Wellington Ave , Chicago IL 60657-5147. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Koenigsberg, Max D can be contacted via phone (773) 296-7054.

Contact Information

Primary practice address
836 W Wellington Ave Chicago IL 60657-5147
Phone: (773) 296-7054
Fax: (773) 296-7818
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-060719 Illinois
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036-060719 Illinois

Profile Details

NPI number 1295762250
LBN Legal business name Koenigsberg, Max D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Feb 4th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295762250 NPPES
Illinois MEDICAID 036-060719

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