Healthcare Provider Details

I. General information

NPI: 1992672372
Provider Name (Legal Business Name): DEBORAH KNOLL LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 W SALT CREEK LN STE 311
ARLINGTON HEIGHTS IL
60005-1078
US

IV. Provider business mailing address

101 N WATERMAN AVE
ARLINGTON HEIGHTS IL
60004-6541
US

V. Phone/Fax

Practice location:
  • Phone: 224-857-8999
  • Fax: 888-995-1609
Mailing address:
  • Phone: 224-857-8999
  • Fax: 888-995-1609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number227006544
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: