Individual
EMILIA KNOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
9745 TULLEY AVE, OAK LAWN, IL 60453-3076
(773) 807-3373
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.028000
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209028000
IL
Other
Enumeration date
09/05/2023
Last updated
11/21/2023
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