Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. COREY DANE KONIECZKI, DMD
DeactivatedDR. COREY DANE KONIECZKI, DMD is a Student (Health Education/Training) healthcare provider located in LOVES PARK, Illinois. NPI 1477132561 is deactivated in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · LOVES PARK, IL
This NPI has been deactivated.
The record was deactivated on May 9, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1477132561
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2021 (0.09041095890411 yrs)
- Last Updated
- Jun 25, 2021
- Deactivated
- May 9, 2021
Practice Information
- Address
-
2028 E RIVERSIDE BLVD STE 210LOVES PARK, IL, 611114800Browse IL providers · Browse ZIP 61111
- Phone
- 8153154073
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in LOVES PARK, IL
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS AWINE AKURUGO | MD, DPT | 1588128011 |
| MONICA MANHAS | MD | 1295297489 |
| DR. HARSHRAJ SINGH SIDHU | M.D. | 1073196739 |
| MS. NAMRATA ANAND | MD | 1811570914 |
| DR. TOBIN JOHNSON CHEMPLAVIL | DO | 1356086607 |
| DR. BENEDICT IKEUDENTA III | MD | 1477256931 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.