Individual
ALYSSA NICOLE KNUEVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3749 W 95TH ST, EVERGREEN PARK, IL 60805-2019
(708) 422-6569
(708) 499-1511
Mailing address
5 N BIRCHWOOD DR, NAPERVILLE, IL 60540-4073
(708) 653-8993
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.005827
IL
Other
Enumeration date
05/13/2016
Last updated
07/29/2022
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