Individual
DR. DAVID R KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2512 HURST DR., MATTOON, IL 61938-2500
(217) 258-5900
(217) 258-5904
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036100522
IL
2080A0000X
Pediatric Adolescent Medicine Physician
036100522
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100522
—
IL
Enumeration date
08/16/2006
Last updated
04/14/2025
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