Healthcare Provider Details

I. General information

NPI: 1457379976
Provider Name (Legal Business Name): HOWARD STEVEN KONOWITZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 05/16/2023
Certification Date: 05/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 S RIVER RD
DES PLAINES IL
60018
US

IV. Provider business mailing address

PO BOX 1171
DEERFIELD IL
60015-6002
US

V. Phone/Fax

Practice location:
  • Phone: 847-470-8740
  • Fax:
Mailing address:
  • Phone: 847-945-4550
  • Fax: 847-948-8103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number36067918
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number39067918
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number36067918
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: