Provider Demographics
NPI:1942440854
Name:KONING, TAUNI L (DC)
Entity Type:Individual
Prefix:DR
First Name:TAUNI
Middle Name:L
Last Name:KONING
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 ROSE ST
Mailing Address - Street 2:
Mailing Address - City:KEWANEE
Mailing Address - State:IL
Mailing Address - Zip Code:61443-2627
Mailing Address - Country:US
Mailing Address - Phone:309-853-3261
Mailing Address - Fax:309-856-6750
Practice Address - Street 1:921 ROSE ST
Practice Address - Street 2:
Practice Address - City:KEWANEE
Practice Address - State:IL
Practice Address - Zip Code:61443-2627
Practice Address - Country:US
Practice Address - Phone:309-853-3261
Practice Address - Fax:309-856-6750
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.011316111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL1924Medicare PIN