Provider Demographics
NPI:1457379976
Name:KONOWITZ, HOWARD STEVEN (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:STEVEN
Last Name:KONOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1171
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-6002
Mailing Address - Country:US
Mailing Address - Phone:847-945-4550
Mailing Address - Fax:847-948-8103
Practice Address - Street 1:2750 S RIVER RD
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018
Practice Address - Country:US
Practice Address - Phone:847-470-8740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36067918207LP2900X, 207L00000X
IL39067918207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP00372337OtherRAILROAD MEDICARE
ILO50073635OtherRAILROAD MEDICARE
IL36067918Medicaid
L78270Medicare ID - Type Unspecified
C48879Medicare UPIN
IL36067918Medicaid
L97035Medicare ID - Type Unspecified
ILP00372337OtherRAILROAD MEDICARE
K06682Medicare ID - Type Unspecified