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General NPI Number Information
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NPI Number | 1336131184
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Entity Type | Individual
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Provider Name | WANDA E. CRUZ KNIGHT M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 909 DAVIS ST STE 200
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City | EVANSTON
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State | IL
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Zip | 60201-3664
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Country | US
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Telephone | 847-866-3700
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Fax | 847-866-6035
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Provider Business Mailing Address
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Address Line | 2650 RIDGE AVE # 1223
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City | EVANSTON
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State | IL
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Zip | 60201-1700
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Country | US
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Telephone | 847-982-3175
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Fax | 847-982-3394
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01060839A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME129993
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036101885
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License Number State | IL
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