Individual
KEITH CHARLES KNAPP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3303 S HALSTED ST, SUITE 100, CHICAGO, IL 60608-6705
(773) 890-0800
(773) 890-5430
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-062820
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-062820
LICENSE
IL
Enumeration date
11/04/2005
Last updated
10/02/2025
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