Individual
LAKEETHINA KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 GRANT ST, EVANSTON, IL 60201-1903
(847) 570-3422
Mailing address
3200 GRANT ST, EVANSTON, IL 60201-1903
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
0431
IL
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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