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Individual

DR. LORI ANN KNUTSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
912 W SEMINARY AVE, ONARGA, IL 60955-1401
(815) 268-4840
(815) 268-4845
Mailing address
PO BOX 985, NEW LENOX, IL 60451
(815) 325-5975

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-004332
IL

Other

Enumeration date
10/20/2006
Last updated
02/27/2024
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