Peter Ralph Koenig

M.D. | Pediatric Cardiology | Male

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Complete Profile:

Peter Ralph Koenig basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Peter Ralph Koenig
Credential :	M.D.
Gender :	Male
Sole Proprietor :	Yes

Business Address:

Peter Ralph Koenig address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	225 E Chicago Ave Chicago, IL, 60611-2991 United States
Phone Number :	800-543-7362

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1922114297
NPI Entity Type :	Individual
First Enrolment Date :	21 Aug, 2006
Last Updated On :	27 May, 2020

Medicare Participation:

Peter Ralph Koenig participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3678501582
Medicare Enrollment ID :	I20050802000257
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	University Of Michigan Medical School
Graduation Year :	1986
Accepts Medicare?	Yes. Peter Ralph Koenig accepts medicare insurance.

Group Practice Association:

Peter Ralph Koenig is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Peter Ralph Koenig is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Pediatric Faculty Foundation Inc	4789597279	115	225 E Chicago Ave Chicago, IL - 606112991 Ph: 8005437362	Yes
Pediatric Faculty Foundation Inc	4789597279	115	2515 N Clark St Chicago, IL - 606143393 Ph: 8005437362	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Peter Ralph Koenig are as mentioned. Primary taxonomy code for Peter Ralph Koenig, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	036076893	IL

Legacy Identifiers:

Other legacy medical identifiers of Peter Ralph Koenig such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
036076893	Other	IL	STATE LICENSE

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	225 E Chicago Ave Chicago, IL, 60611-2991 United States
Phone Number :	800-543-7362

Business Location:

Patients can refer following map for directions to Peter Ralph Koenig practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.