Individual
MRS. MICHELLE RAE KNIZNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
300 W BUTTERFIELD RD, ELMHURST, IL 60126-5017
(630) 834-0478
(630) 834-1677
Mailing address
313 PERSIMMON LN, OSWEGO, IL 60543-8250
(630) 551-0130
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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