MEDICARE: RHONDA L KONARSKI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician		IL

General Provider Information

NPI Number	:	1558362772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA L KONARSKI MD

Provider Business Mailing Address
First Line	:	PO BOX 88495
Second Line	:	DEPT A
City	:	CHICAGO
State	:	IL
Zip	:	60680-1495
Country	:	US
Telephone Number	:	630-734-0200
Fax Number	:	630-734-1560

Provider Business Practice Location Address
First Line	:	3815 HIGHLAND AVE
Second Line	:	ADVOCATE GOOD SAMARITAN HOSPITAL
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-1500
Country	:	US
Telephone Number	:	630-275-5900
Fax Number	:	630-734-1560

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	07/08/2007

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