Individual
CAROLINE KNUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 327-9124
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-20-144114
IL
208000000X
Pediatrics Physician
Primary
125.085982
IL
Other
Enumeration date
01/20/2021
Last updated
05/27/2025
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