Individual
DR. DAMIEN J MCKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
822 S MILLER ST, CHICAGO, IL 60607-4207
(312) 733-9010
Mailing address
946 N RACINE AVE, CHICAGO, IL 60622-4126
(312) 733-9010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036107041
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107041
—
IL
Enumeration date
10/04/2006
Last updated
06/24/2015
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