Keith L Komnick
Orthopaedic Surgeon
581 E Golf Rd
Des Plaines
, Illinois 60016-2349
Keith L Komnick
Orthopaedic Surgeon
581 E Golf Rd
Des Plaines
, Illinois 60016-2349
(847) 297-7270
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Keith L Komnick
- 581 E Golf Rd
- Des Plaines, IL
- Zip : 60016-2349
- Fax : (847) 297-7270
- Phone : (847) 297-2240
Second Address
- Keith L Komnick
- 581 E Golf Rd
- Des Plaines, IL
- Zip : 60016-2349
- Fax : (847) 297-7270
- Phone : (847) 297-2240
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 036074659 | IL |
National Provider Identifier
| NPI | 1013913615 |
|---|---|
| Provider Name | Keith L Komnick |
| First Address | Des Plaines, IL 60016-2349 |
| Second Address | Des Plaines, IL 60016-2349 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2005 |
| Last Update Date | 13/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E35538 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.