Individual
SARAH KNAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-CDE
Contact information
Practice address
615 N PROMENADE ST, HAVANA, IL 62644-1243
(309) 543-4431
(309) 543-2089
Mailing address
12928 SR 78, HAVANA, IL 62644-6861
(309) 338-1897
(309) 543-2089
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
041315180
IL
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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