Individual
DR. WALTER KNOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3303
(217) 383-3265
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036088482
IL
Other
Enumeration date
12/21/2005
Last updated
01/23/2021
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