Konopelski, John Vincent

Konopelski, John Vincent is an individual health care provider with primary practice located at 76 S Lasalle St , Aurora IL 60505-3375. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Konopelski, John Vincent can be contacted via phone (630) 264-0916.

Contact Information

Primary practice address
76 S Lasalle St Aurora IL 60505-3375
Phone: (630) 264-0916
Fax: (630) 264-1607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209004282 Illinois

Profile Details

NPI number 1558489393
LBN Legal business name Konopelski, John Vincent
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Dec 26th, 2012 - about 12 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 1558489393 NPPES
Illinois Other 209004282 ADVANCED PRACTICE NURSING

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