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Individual

AASTA KNOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
18416 WILLOW LN, LANSING, IL 60438-3372
(708) 704-8306
Mailing address
18416 WILLOW LN, LANSING, IL 60438-3372
(708) 704-8306

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
209005641
IL
2278P1005X
Pulmonary Rehabilitation Certified Respiratory Therapist
209.005641
IL
364SA2200X
Adult Health Clinical Nurse Specialist
209005641
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209005641
IL
Enumeration date
11/03/2008
Last updated
05/14/2021
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