Individual
MS. BEVERLY ELLEN KNIGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.N., C.N.P.
Contact information
Practice address
2425 W 22ND STREET, OAK BROOK, IL 60523-1247
(630) 568-3912
(630) 581-5286
Mailing address
3S053 BLACKCHERRY LN, GLEN ELLYN, IL 60137-7201
(630) 248-1236
(630) 545-1803
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209-002192
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232472
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
08/20/2005
Last updated
03/07/2014
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