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Organization
NORTHWEST ADULT MEDICINE S.C.
Active
Organization
NORTHWEST ADULT MEDICINE S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH MARIE KNIPPLE M.D. (PRESIDENT OWNER)
(847) 640-0444
Entity
Organization
Contact information
Practice address
2010 S ARLINGTON HEIGHTS RD, SUITE 100, ARLINGTON HEIGHTS, IL 60005-4134
(847) 640-0444
(847) 640-9803
Mailing address
PO BOX 700, MOUNT PROSPECT, IL 60056-0700
(847) 640-0444
(847) 640-9803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001627833
BLUE CROSS BLUE SHIELD
—
Enumeration date
06/21/2007
Last updated
08/22/2020
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