Individual
DR. RICARDO ALFONZO KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., MBA
Contact information
Practice address
345 EXECUTIVE PARKWAY UNIT M4, ROC, IL 61107-2474
(847) 305-1954
(815) 381-8665
Mailing address
345 EXECUTIVE PARKWAY SUITE M4, ROCKFORD, IL 61107
(847) 305-1954
(815) 381-8665
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-110166
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110166
—
IL
01
—
1902014285
CORPORATE NPI- INTEGRATIVE REHABMEDICINE S.C.
IL
Enumeration date
05/20/2006
Last updated
05/03/2023
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