Individual
DR. KORT RODERICK KNOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 W MADISON ST, DANVILLE, IL 61832-5657
(217) 431-7898
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036164736
IL
Other
Enumeration date
05/22/2020
Last updated
06/06/2025
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