Individual
DR. DAVID R KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4109 S WATER TOWER PL, MOUNT VERNON, IL 62864-6293
(618) 244-4060
(618) 205-5817
Mailing address
4109 S WATER TOWER PL, MOUNT VERNON, IL 62864-6293
(618) 244-4060
(618) 205-5817
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036114878
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114878
—
IL
01
—
DE2609
RAILROAD
IL
Enumeration date
06/15/2005
Last updated
04/20/2017
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