NPI 1083633473

Ronald P Konchanin, MD

Practitioner Urology Physician Urbana, IL

Practice location

Address: 611 W. Park St. Urology, Urbana, IL 61801-2500
Phone: (217) 383-3160
Fax: (217) 383-4868
Mailing address: 611 W. Park St. Bwpc, Urbana, IL 61801-2500

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 036100175 (IL)

Other Urology providers in Illinois →

Registry record

NPI: 1083633473
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2006
Record last updated: 20 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.