| Doctor Name: | CHRISTOPHER KOENIG |
| NPI Number: | 1164891818 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 085-005657 |
| Business Practice Address: | 10330 S Roberts Rd Palos Hills, IL - 604651971 |
| Business Phone Number: | 7082377252 |
| Business Fax Number: | 7082377274 |
| Mailing Address: | 10330s Roberts Rd, PALOS HILLS |
| State: | IL |
| Postal Code: | 604651971 |
| Phone Number: | 7082377252 |
| Fax Number: | 7082377274 |
| NPI Enumeration Date: | 09/23/2015 |
| NPI Last Update Date: | 10/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 085-005657 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |