Healthcare Provider Details

I. General information

NPI: 1447163175
Provider Name (Legal Business Name): COLETTE ANN MCKNIGHT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 S LINCOLNWAY STE 120
NORTH AURORA IL
60542-1659
US

IV. Provider business mailing address

161 S LINCOLNWAY STE 120
NORTH AURORA IL
60542-1659
US

V. Phone/Fax

Practice location:
  • Phone: 630-859-2504
  • Fax: 708-202-5443
Mailing address:
  • Phone: 630-859-2504
  • Fax: 708-202-5443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number041302482
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: