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Organization
BEVERLY KNIGGE MEDICAL SC
Active
Organization
BEVERLY KNIGGE MEDICAL SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY ELLEN KNIGGE APN, CNP (NURSE PRACTITIONER)
(630) 248-1236
Entity
Organization
Contact information
Practice address
2425 W 22ND STREET, SUITE 211, OAK BROOK, IL 60523-1247
(630) 568-3912
(630) 581-5286
Mailing address
2425 W 22ND STREET, SUITE 211, OAK BROOK, IL 60523-1247
(630) 568-3912
(630) 581-5286
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209002192
IL
Other
Enumeration date
11/21/2013
Last updated
03/07/2014
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