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General NPI Number Information
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NPI Number | 1356507602
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Entity Type | Individual
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Provider Name | KRISTOPHER DAVID KNOPP M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/05/2008
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Last Update Date | 07/16/2012
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Provider Practice Location Address
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Address Line | 1 TRANSAM DRIVE SUITE 360
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181
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Country | US
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Telephone | 630-785-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 3240 N CALIFORNIA AVE UNIT 2S
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City | CHICAGO
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State | IL
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Zip | 60618-5877
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Country | US
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Telephone | 773-576-1228
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036.122226
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License Number State | IL
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