Organization
BEVERLY KNIGGE MEDICAL SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY ELLEN KNIGGE APN, CNP (NURSE PRACTITIONER)
(630) 248-1236
Entity
Organization
Contact information
Practice address
2425 W 22ND STREET, SUITE 211, OAK BROOK, IL 60523-1247
(630) 568-3912
(630) 581-5286
Mailing address
2425 W 22ND STREET, SUITE 211, OAK BROOK, IL 60523-1247
(630) 568-3912
(630) 581-5286
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209002192
IL
Other
Enumeration date
11/21/2013
Last updated
03/07/2014
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