Individual
LACY A KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
660 N WESTMORELAND RD, LAKE FOREST, IL 60045-1659
(847) 535-6150
(847) 535-7801
Mailing address
660 N WESTMORELAND RD, LAKE FOREST, IL 60045-1659
(847) 535-6150
(847) 535-7801
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
036107997
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
36107997
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36107997
—
IL
Enumeration date
12/21/2005
Last updated
03/12/2014
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