Healthcare Provider Details

I. General information

NPI: 1982529970
Provider Name (Legal Business Name): KATHRYN KNOCH DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1843 S RACINE AVE
CHICAGO IL
60608-5376
US

IV. Provider business mailing address

1939 N HUMBOLDT BLVD APT 2S
CHICAGO IL
60647-7536
US

V. Phone/Fax

Practice location:
  • Phone: 312-291-8298
  • Fax:
Mailing address:
  • Phone: 630-379-6751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.024488
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: