| Dr Leo Koenig, MD | |
|
1325 Community Memorial Dr, La Grange, IL 60525-2659 | |
| (708) 245-8900 | |
| (708) 245-5604 |
| Full Name | Dr Leo Koenig |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1325 Community Memorial Dr, La Grange, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013967322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36051868 (Illinois) | Primary |
| Entity Name | Adventist Midwest Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821156068 PECOS PAC ID: 8224025887 Enrollment ID: O20040427000900 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leo Koenig, MD 1325 Community Memorial Dr, La Grange, IL 60525-2659 Ph: (708) 245-8900 | Dr Leo Koenig, MD 1325 Community Memorial Dr, La Grange, IL 60525-2659 Ph: (708) 245-8900 |
Sarah Kay Welch, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Community Memorial Dr, La Grange, IL 60525 Phone: 708-245-8900 Fax: 708-245-5604 | |
Dr. Daphne Tessalee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Community Memorial Dr, La Grange, IL 60525 Phone: 708-245-8900 Fax: 708-245-5604 | |
Katarzyna Helena Rogala, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Community Memorial Dr, La Grange, IL 60525 Phone: 708-245-8900 | |
Dr. Clodagh Therese Ryan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 W 47th St Ste 1, La Grange, IL 60525 Phone: 708-571-2272 Fax: 281-667-0104 | |
Dr. Andrea Ocampo Colada, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1323 Memorial Drive, Ste 214, La Grange, IL 60525 Phone: 708-245-8900 Fax: 708-245-5604 | |
Vince Bartolomeo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 W 47th St, La Grange, IL 60525 Phone: 708-579-9375 Fax: 708-579-9378 |