Individual
GERALD KNIGHTEN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1023 BURLINGTON AVE, WESTERN SPRINGS, IL 60558
(708) 745-5277
(708) 784-9451
Mailing address
1104 LINDEN AVE, BELLWOOD, IL 60104-2426
(708) 837-8863
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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