Healthcare Provider Details

I. General information

NPI: 1477135259
Provider Name (Legal Business Name): MARGOT KNIGHT DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2021
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 S. CALIFORNIA AVENUE ROOM F930
CHICAGO IL
60608
US

IV. Provider business mailing address

1500 S. CALIFORNIA AVENUE ROOM F930
CHICAGO IL
60608
US

V. Phone/Fax

Practice location:
  • Phone: 312-257-6496
  • Fax:
Mailing address:
  • Phone: 312-257-6496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number036179509
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: