Healthcare Provider Details

I. General information

NPI: 1225849714
Provider Name (Legal Business Name): JAMI GABRIELLE KNOPP PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 W KING ARTHUR CT
PALATINE IL
60067-2619
US

IV. Provider business mailing address

132 W KING ARTHUR CT
PALATINE IL
60067-2619
US

V. Phone/Fax

Practice location:
  • Phone: 224-433-4662
  • Fax:
Mailing address:
  • Phone: 224-433-4662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: