Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

P John Konicki, DO

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1336152891

P John Konicki, DO is an Emergency Medical Services (Emergency Medicine) Physician in Bloomington, Indiana. Works from 2 locations. Licensed in Illinois and Indiana.

Licensed in
IL, IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

601 W 2nd St
Bloomington, IN 47403-2317
Phone: (812) 353-5252
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4440 W 95th St, Oak Lawn, IL 60453-2600 — (708) 684-5354

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 02005798A (IN)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 036091309 (IL)

Record details

NPI number1336152891
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESOctober 23, 2020
Certification dateOctober 23, 2020
Mailing address4440 W 95th St, Department Of Emergency Medicine, Oak Lawn, IL 60453-2600

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