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NPI Code Detail

MEDICARE: KONRAD KNUSEL MD

MEDICARE: KONRAD KNUSEL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician036180035IL
2207XS0114XAdult Reconstructive Orthopaedic Surgery Physician036180035IL

General Provider Information

NPI Number : 1033793534
Entity Type Code : Individual
Provider Name (Legal Business Name) : KONRAD KNUSEL MD
Provider Business Mailing Address
First Line : 2650 RIDGE AVE STE 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-570-2040
Fax Number :
Provider Business Practice Location Address
First Line : 9650 GROSS POINT RD STE 2900
Second Line :
City : SKOKIE
State : IL
Zip : 60076-5006
Country : US
Telephone Number : 224-251-2900
Fax Number : 224-251-5096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2021
Last Update Date : 05/05/2026

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Directions to “ KONRAD KNUSEL MD” Practice Location

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