Individual
MARY KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 HIAWATHA DR, MINOOKA, IL 60447-8760
(815) 255-2436
Mailing address
707 HIAWATHA DR, MINOOKA, IL 60447-8760
(815) 255-2436
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
227016126
IL
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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