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General NPI Number Information
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NPI Number | 1568322980
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Entity Type | Individual
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Provider Name | CORI KNUTSON APN
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Gender | Female
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 4121 FAIRVIEW AVE STE L2
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-2275
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Country | US
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Telephone | 630-968-1700
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Fax | 630-968-7103
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Provider Business Mailing Address
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Address Line | 4121 FAIRVIEW AVE STE L2
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-2275
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Country | US
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Telephone | 630-968-1700
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Fax | 630-968-7103
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 209033987
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License Number State | IL
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