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NPI Code Detail

MEDICARE: KNODEL ENTERPRISES

MEDICARE: KNODEL ENTERPRISES
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
1347C00000XPrivate Vehicle347C00000XIL

General Provider Information

NPI Number : 1194042614
Entity Type Code : Organization
Provider Name (Legal Business Name) : KNODEL ENTERPRISES
Provider Business Mailing Address
First Line : 3936 N CENTRAL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60634-2732
Country : US
Telephone Number : 224-595-1096
Fax Number : 773-685-2416
Provider Business Practice Location Address
First Line : 3936 N CENTRAL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60634-2732
Country : US
Telephone Number : 224-595-1096
Fax Number : 773-685-2416
Authorized Official
Title or Position : PRESIDENT
Name : ERICH H KNODEL
Credential :
Telephone Number : 224-595-1096
Provider Enumeration Date : 04/23/2010
Last Update Date : 04/23/2010

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Directions to “KNODEL ENTERPRISES ” Practice Location

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