Individual
MR. SANFORD I KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
434 WOODLAWN AVE, GLENCOE, IL 60022-2124
(847) 612-4729
(847) 835-8003
Mailing address
434 WOODLAWN AVE, GLENCOE, IL 60022-2124
(847) 612-4729
(847) 835-8003
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016-004716
IL
213E00000X
Podiatrist
Primary
07000826A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224020
ANTHEM BCBS INDIANA
IN
01
—
000000224021
ANTHEM BCBS INDIANA
IN
05
—
016004716
—
IL
01
—
01628296
BCBS OF ILLINOIS
IL
05
—
134297859
—
MI
05
—
200160970A
—
IN
01
—
480025164
RAILROAD MEDICARE
IL
01
—
4840180001
DMERC
IN
01
—
4856050000
BCBS OF MICHIGAN
MI
Enumeration date
06/15/2006
Last updated
02/24/2016
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