Individual
TINA F KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1875 DEMPSTER ST, SUITE 665, PARK RIDGE, IL 60068-1186
(847) 825-1590
(847) 825-1604
Mailing address
1875 DEMPSTER ST, SUITE 665, PARK RIDGE, IL 60068-1186
(847) 825-1590
(847) 825-1604
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.001612
IL
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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